Provider Demographics
NPI:1659488534
Name:SWITZER, ROBERT (PSYD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SWITZER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N WELLS ST
Mailing Address - Street 2:TCS
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-8158
Mailing Address - Country:US
Mailing Address - Phone:312-332-7000
Mailing Address - Fax:
Practice Address - Street 1:325 N WELLS ST
Practice Address - Street 2:TCS
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-8158
Practice Address - Country:US
Practice Address - Phone:312-332-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71-5402103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01633314OtherBLUE CROSS BLUE SHIELD
IL206894Medicare ID - Type UnspecifiedWPS-DUPAGE COUNTY
IL01633314OtherBLUE CROSS BLUE SHIELD