DR JACQUELINE BARDWELL LTD
NPI 1245483940
Clinic/Center - Adult Mental Health in Chicago, IL

Active since October 28, 2008
4403 W LAWRENCE AVE, SUITE 200, CHICAGO, IL 60630(773) 736-1555(773) 736-1552 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr Jacqueline Bardwell Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JACQUELINE BARDWELL LTD (NPI 1245483940) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since October 2008. The organization lists Jacqueline Bardwell, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1245483940
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameDR JACQUELINE BARDWELL LTD
Location Address4403 W LAWRENCE AVE, SUITE 200Chicago, IL 60630-2513
Mailing Address4403 W Lawrence Ave, Suite 200Chicago, IL 60630-2513 · (773) 736-1555 · Fax (773) 736-1552
Fax(773) 736-1552
Organization SubpartNo
Authorized OfficialJacqueline BardwellC.e.o. · (773) 736-1555
Enumeration DateOctober 28, 2008
NPI 1245483940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

4403 W LAWRENCE AVE, Chicago, IL 60630

Other Identifiers 2

Medicaid036071838IL
Medicare UPINE60954IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, SUITE 200
CHICAGO, IL 60630
Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, SUITE 200
CHICAGO, IL 60630
Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, SUITE : 200
CHICAGO, IL 60630
Home Health
4403 W LAWRENCE AVE, SUITE 201
CHICAGO, IL 60630
Clinic/Center (Mental Health (Including Community Mental Health Center))
4403 W LAWRENCE AVE, SUITE # 209
CHICAGO, IL 60630
Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, SUITE 200
CHICAGO, IL 60630
Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, SUITE : 200
CHICAGO, IL 60630
Clinic/Center (Adult Mental Health)
4403 W LAWRENCE AVE, STE # 209
CHICAGO, IL 60630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jacqueline Bardwell Ltd's NPI number?

The NPI number for Dr Jacqueline Bardwell Ltd is 1245483940. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Dr Jacqueline Bardwell Ltd located?

Dr Jacqueline Bardwell Ltd is located at 4403 W Lawrence Ave Suite 200, Chicago, IL 60630. The listed phone number is (773) 736-1555.

What is Dr Jacqueline Bardwell Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Dr Jacqueline Bardwell Ltd was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.