Organization · Type 2 NPI

DR Jacqueline Bardwell Ltd

Adult Mental Health Clinic/Center · Chicago, IL

NPI number 1245483940 Active

Practice location

4403 W Lawrence Ave, Suite 200
Chicago, IL 60630-2513

Call (773) 736-1555 Map

Fax (773) 736-1552

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: 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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About NPI 1245483940

DR Jacqueline Bardwell Ltd's National Provider Identifier is 1245483940, issued on Oct 28, 2008. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2008.