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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881688307 NPPES
Illinois MEDICAID 036057616
Illinois Other 2160834332
Illinois Other 260039385

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