Healthcare Provider Details

I. General information

NPI: 1679589717
Provider Name (Legal Business Name): ROBERT NORMAN HARDEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

980 N MICHIGAN AVE STE. 800
CHICAGO IL
60611-4501
US

IV. Provider business mailing address

980 N MICHIGAN AVE STE. 800
CHICAGO IL
60611-4501
US

V. Phone/Fax

Practice location:
  • Phone: 312-238-7800
  • Fax: 312-238-7801
Mailing address:
  • Phone: 312-238-7800
  • Fax: 312-238-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number036-087401
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number036-087401
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number036-087401
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: