Provider Demographics
NPI:1942326277
Name:SCHUTTEN, ROBERT J (LCPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:SCHUTTEN
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2384
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60434-2384
Mailing Address - Country:US
Mailing Address - Phone:815-342-9011
Mailing Address - Fax:
Practice Address - Street 1:24014 W RENWICK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-8708
Practice Address - Country:US
Practice Address - Phone:815-342-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2011-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional