| Robert R. Feldman, Ph.d. Ltd. | |
|
101 Lions Dr Ste 119 Barrington IL 60010-3147 | |
| (847) 601-3192 | |
| Not Available |
| Full Name | Robert R. Feldman, Ph.d. Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 101 Lions Dr Ste 119, Barrington, Illinois |
| Authorized Official Name and Position | Robert Feldman (PRESIDENT) |
| Authorized Official Contact | 8476013192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R. Feldman, Ph.d. Ltd. 3163 University Ave Highland Park IL 60035-1144 Ph: () - | Robert R. Feldman, Ph.d. Ltd. 101 Lions Dr Ste 119 Barrington IL 60010-3147 Ph: (847) 601-3192 |
| NPI Number | 1679899199 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 04/08/2010 |
| Medicare PECOS PAC ID | 2264626282 |
|---|---|
| Medicare Enrollment ID | O20101103000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679899199 | NPI | - | NPPES |
| 0001607224 | Other | IL | BC/BS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071-003643 (Illinois) | Primary |
| Provider Name | Robert R Feldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710038997 PECOS PAC ID: 2264626290 Enrollment ID: I20101104000060 |
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