Individual
DR. DAVID GEORGE BAWDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4711 GOLF RD, 1200, SKOKIE, IL 60076-1224
(847) 446-7911
(847) 386-6239
Mailing address
PO BOX 8159, NORTHFIELD, IL 60093-8159
(847) 446-7911
(847) 386-6239
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036057616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057616
—
IL
01
—
2160834332
BLUE CROSS
IL
01
—
260039385
RAILROAD RETIREMENT
IL
Enumeration date
09/12/2005
Last updated
01/03/2010
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