Bawden, David George
Bawden, David George is an sole proprietor health care provider with primary practice located at 4711 Golf Rd 1200, Skokie IL 60076-1224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bawden, David George can be contacted via phone (847) 446-7911.Contact Information
Primary practice address
4711 Golf Rd 1200
Skokie IL 60076-1224
Phone: (847) 446-7911
Fax: (847) 386-6239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036057616 | Illinois |
Profile Details
| NPI number | 1881688307 |
|---|---|
| LBN Legal business name | Bawden, David George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Jan 3rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881688307 | NPPES |
| Illinois | MEDICAID | 036057616 | |
| Illinois | Other | 2160834332 | |
| Illinois | Other | 260039385 |
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