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NPI Code Detail

MEDICARE: DR. DAVID GEORGE BAWDEN M.D.

MEDICARE:  DR. DAVID GEORGE BAWDEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician036057616IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22160834332OTHERILBLUE CROSS
3260039385OTHERILRAILROAD RETIREMENT

General Provider Information

NPI Number : 1881688307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GEORGE BAWDEN M.D.
Provider Business Mailing Address
First Line : PO BOX 8159
Second Line :
City : NORTHFIELD
State : IL
Zip : 60093-8159
Country : US
Telephone Number : 847-446-7911
Fax Number : 847-386-6239
Provider Business Practice Location Address
First Line : 4711 GOLF RD
Second Line : 1200
City : SKOKIE
State : IL
Zip : 60076-1224
Country : US
Telephone Number : 847-446-7911
Fax Number : 847-386-6239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 01/03/2010

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Directions to “ DR. DAVID GEORGE BAWDEN M.D.” Practice Location

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