Rae Bardell is a Clinical in Sycamore, Illinois. Rae Bardell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Rae Bardell is 1629025044. The last update date is 2021-02-09.
Rae Bardell's current location address is 1761 Woodgate Dr, Sycamore, Illinois. You can contact this provider via phone number 9202064505 and fax number 8158276202. The mailing address for Rae Bardell is 1761 Woodgate Dr, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rae Bardell |
|---|---|
| Address | 1761 Woodgate Dr, Sycamore, Illinois |
| Phone Number | 9202064505 |
| Fax Number | 8158276202 |
| Sole Proprietor | Y |
| Credentials | BCBA, LCSW |
NPI Number Detail
| NPI Number | 1629025044 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2021-02-09 |
Provider Mailing Address Detail
| Address | 1761 Woodgate Dr |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 601782770 |
| Phone Number | 9202064505 |
| Fax Number | 8158276202 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149.014536 |
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What is the unique identification code assigned to Rae Bardell by the Centers for Medicare & Medicaid Services?
The Rae Bardell has been issued the NPI (National Provider Identifier) 1629025044. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Rae Bardell is geographically located?
The Rae Bardell is physically situated at the following location: 1761 Woodgate Dr, Sycamore, IL, 601782770.
What is the Rae Bardell's area of specialization and corresponding taxonomy classification?
The Rae Bardell's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did Rae Bardell receive its 1629025044 assignment?
The Rae Bardell was assigned its 1629025044 on 2006-05-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Rae Bardell most recently updated?
The details pertaining to the Rae Bardell, including its address, specialty, and other relevant information, were last refreshed on 2021-02-09.
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