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Search › Illinois › 103TC0700X

Robert Waller, PSYD

NPI 1174014625 · on the registry since 2018

Practice

Address
1276 N Clybourn Ave
Chicago, IL 60610
Phone
(312) 337-1073
Organisation at this address
Near North Health Service Corporation
Near North Health Service Corporation
Near North Health Service Corporation
Near North Health Service Corporation
Near North Health Service Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Additional practice sites

  • 1525 E 53rd St Ste 623, Chicago, IL
  • 30 N Michigan Ave Ste 529, Chicago, IL

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TA0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois