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1023461993
ROBERT BALLANTYNE
CHICAGO, IL
NPI
1023461993
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071.008958)
Enumeration Date
2016-07-15
Last Update Date
2017-01-31
Business Address
Dr. ROBERT BALLANTYNE Psy.D.
1300 W BELMONT AVE SUITE 508, C/O CATHARINE DEVLIN
CHICAGO, IL 60657-3200
Phone number: 313-282-1156
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Mailing Address
Dr. ROBERT BALLANTYNE Psy.D.
1300 W BELMONT AVE SUITE 508, C/O CATHARINE DEVLIN
CHICAGO, IL 60657-3200
Phone number:
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