| Neuro-psych Technologies, Ltd. | |
|
4711 Golf Rd Suite 1200 Skokie IL 60076-1224 | |
| (847) 446-7911 | |
| (847) 386-6239 |
| Full Name | Neuro-psych Technologies, Ltd. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4711 Golf Rd, Skokie, Illinois |
| Authorized Official Name and Position | David George Bawden (PRESIDENT) |
| Authorized Official Contact | 8474467911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro-psych Technologies, Ltd. Po Box 8159 Northfield IL 60093-8159 Ph: (847) 446-7911 | Neuro-psych Technologies, Ltd. 4711 Golf Rd Suite 1200 Skokie IL 60076-1224 Ph: (847) 446-7911 |
| NPI Number | 1932193455 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 01/03/2010 |
| Medicare PECOS PAC ID | 3173686193 |
|---|---|
| Medicare Enrollment ID | O20090116000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932193455 | NPI | - | NPPES |
| 260039385 | Other | IL | RAIL ROAD RETIREMENT |
| 2160834332 | Other | IL | BLUE CROSS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 042-003570 (Illinois) | Primary |
| Provider Name | David George Bawden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881688307 PECOS PAC ID: 8729141734 Enrollment ID: I20090116000093 |
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