Organization
THE BALDWIN CENTER FOR PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W BALDWIN PH.D (CLINICAL DIRECTOR)
(847) 295-1600
Entity
Organization
Contact information
Practice address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 295-1600
Mailing address
2215 LAKESIDE DR, BANNOCKBURN, IL 60015-1265
(847) 295-1600
(847) 295-1609
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071-003162
IL
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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