Organization
NEURO-PSYCH TECHNOLOGIES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GEORGE BAWDEN M.D. (PRESIDENT)
(847) 446-7911
Entity
Organization
Contact information
Practice address
4711 GOLF RD, SUITE 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
042-003570
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160834332
BLUE CROSS NUMBER
IL
01
—
260039385
RAIL ROAD RETIREMENT
IL
Enumeration date
09/12/2005
Last updated
01/03/2010
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