Jeremy Todd Bidwell PH.D.

NPI 1609108703 - Psychologist - 103TC0700X

NPI Details
NPI 1609108703
Gender Male
Enumeration Date 02/01/2010
Last Updated 10/13/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
3923 MERCY DR
SUITE F
MCHENRY IL, 60050-3173, US
Phone (815) 344-5061
Fax (815) 344-5072
Business Location
3923 MERCY DR
SUITE F
MCHENRY IL, 60050-3173, US
Phone (815) 344-5061
Fax (815) 344-5072
Toxanomy
Taxonomy Code 103TC0700X
License State Illinois
License Number 071.007831
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According to our database, Dr. Jeremy Todd Bidwell PH.D. NPI is 1609108703, taxonomy code is 103TC0700X and license number is 071.007831, license state is located at Illinois. Jeremy Todd Bidwell PH.D. physically located at 3923 Mercy Dr, Mchenry IL, 60050-3173. NPI Number Jeremy Todd Bidwell PH.D. has the Individual type.

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1609108703 NPI number is provided on an as is basis without warranty of any kind. 1609108703 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Todd Bidwell PH.D. are for informational purposes only.