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Bridgeway Behavioral Health Llc
Psychiatric/Mental Health Nurse Practitioner in Park Ridge, Illinois
NPI 1659039857

Bridgeway Behavioral Health Llc is a Psychiatric/Mental Health Nurse Practitioner based in Skokie, IL and is specialized in Psychiatric/Mental Health. Bridgeway Behavioral Health Llc practices in Park Ridge, IL. The NPI Number for Bridgeway Behavioral Health Llc is 1659039857 and holds a License No. (Illinois).

The current practice location address for Bridgeway Behavioral Health Llc is 1440 Renaissance Dr Ste 125, Park Ridge, IL and can be reached out via phone at 847-722-4901.

Location: 1440 Renaissance Dr Ste 125, Park Ridge, IL, 60077-2002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659039857
Provider Name
Bridgeway Behavioral Health Llc
Credential
Provider Entity Type
Organization
Address
1440 Renaissance Dr Ste 125, Park Ridge, IL, 60077-2002
Phone Number
847-722-4901
Fax Number
Provider Enumeration Date
12/04/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1578817003 05 IL
institution
Provider Business Practice Location Address Details
Address
1440 Renaissance Dr Ste 125
City
Park Ridge
State
Illinois
Zip
60068-1414
Phone Number
847-722-4901
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Renaissance Dr Ste 125
City
Park Ridge
State
Illinois
Zip
60068-1414
Phone Number
847-722-4901
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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