DR JACQUELINE BARDWELL LTD NPI 1245483940

NPI Information

DR JACQUELINE BARDWELL LTD is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DR JACQUELINE BARDWELL LTD NPI is 1245483940. The provider is registered as an organization entity type.

The provider's business location address is:

4403 W LAWRENCE AVE
SUITE 200
CHICAGO, IL
ZIP 60630-513
Phone: (773) 736-1555
Fax: (773) 736-1552

The provider's authorized official is Jacqueline Bardwell .
The authorized official title is C.e.o. and has the following contact phone number (773) 736-1555.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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