institution
Dr Jacqueline Bardwell Ltd
Adult Mental Health Clinic/Center in Chicago, Illinois
NPI 1245483940

Dr Jacqueline Bardwell Ltd is an Adult Mental Health Clinic/Center based in Chicago, IL and is specialized in Adult Mental Health. Dr Jacqueline Bardwell Ltd practices in Chicago, IL. The NPI Number for Dr Jacqueline Bardwell Ltd is 1245483940 and holds a License No. (Illinois).

The current practice location address for Dr Jacqueline Bardwell Ltd is 4403 W Lawrence Ave, Chicago, IL and can be reached out via phone at 773-736-1555 and via fax at 773-736-1552.

Location: 4403 W Lawrence Ave, Chicago, IL, 60630-2513
institution
Provider Profile Details
NPI Number
1245483940
Provider Name
Dr Jacqueline Bardwell Ltd
Credential
Provider Entity Type
Organization
Address
4403 W Lawrence Ave, Chicago, IL, 60630-2513
Phone Number
773-736-1555
Fax Number
773-736-1552
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036071838 05 IL
institution
Provider Business Practice Location Address Details
Address
4403 W Lawrence Ave
City
State
Zip
60630-2513
Phone Number
773-736-1555
Fax Number
773-736-1552
person
Provider Business Mailing Address Details
Address
4403 W Lawrence Ave
City
State
Zip
60630-2513
Phone Number
773-736-1555
Fax Number
773-736-1552
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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