Henry, Robert Bruce

Henry, Robert Bruce is an sole proprietor health care provider with primary practice located at 1821 Walden Office Sq Ste 400, Schaumburg IL 60173-4273. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Henry, Robert Bruce can be contacted via phone (847) 925-5115.

Contact Information

Primary practice address
1821 Walden Office Sq Ste 400 Schaumburg IL 60173-4273
Fax: (877) 700-8148
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-002757 Illinois

Profile Details

NPI number 1891791554
LBN Legal business name Henry, Robert Bruce
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Nov 18th, 2011 - about 13 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 1891791554 NPPES
Illinois Other 1673008 BC/BS OF ILLINOIS

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