Foltz, Robert Michael

Foltz, Robert Michael is an sole proprietor health care provider with primary practice located at 1440 Renaissance Dr Suite 250A, Park Ridge IL 60068-1356. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Foltz, Robert Michael can be contacted via phone (847) 518-9546.

Contact Information

Primary practice address
1440 Renaissance Dr Suite 250A Park Ridge IL 60068-1356
Fax: (847) 297-0007
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1215090964
LBN Legal business name Foltz, Robert Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215090964 NPPES
Illinois Other 04927461 BCBS ID NUMBER

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