Organization
DR JACQUELINE BARDWELL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE BARDWELL M.D. (C.E.O.)
(773) 736-1555
Entity
Organization
Contact information
Practice address
4403 W LAWRENCE AVE, SUITE 200, CHICAGO, IL 60630-2513
(773) 736-1555
(773) 736-1552
Mailing address
4403 W LAWRENCE AVE, SUITE 200, CHICAGO, IL 60630-2513
(773) 736-1555
(773) 736-1552
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036071838
—
IL
Enumeration date
10/28/2008
Last updated
10/28/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us