Ida, Robert

Ida, Robert is an individual health care provider with primary practice located at 1749 S Naperville Rd Suite 106, Wheaton IL 60189-5892. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Ida, Robert can be contacted via phone (630) 260-8780.

Contact Information

Primary practice address
1749 S Naperville Rd Suite 106 Wheaton IL 60189-5892
Phone: (630) 260-8780
Fax: (630) 938-4697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009564 Illinois
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071009564 Illinois

Profile Details

NPI number 1225562986
LBN Legal business name Ida, Robert
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2017
Last updated Mar 17th, 2018 - about 6 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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