1518906718 NPI number — MR. ROBERT J BENNETT LICENSED SCHOOL PSYC

Table of content: MR. ROBERT J BENNETT LICENSED SCHOOL PSYC (NPI 1518906718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518906718 NPI number — MR. ROBERT J BENNETT LICENSED SCHOOL PSYC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BENNETT
Provider First Name:
ROBERT
Provider Middle Name:
J
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LICENSED SCHOOL PSYC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518906718
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2020 GREYSTEM CIRCLE
Provider Second Line Business Mailing Address:
APT 104
Provider Business Mailing Address City Name:
GURNEE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60031-2197
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-704-0009
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2020 GREYSTEM CIRCLE
Provider Second Line Business Practice Location Address:
APT 104
Provider Business Practice Location Address City Name:
GURNEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60031-2197
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-704-0009
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  180000475 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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