Active NPI
David George Bawden, M.D.
- Psychiatry Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036057616
- Practice address
- 4711 Golf Rd
1200
Skokie, IL 60076-1224 - Phone
- (847) 446-7911
- Fax
- (847) 386-6239
- NPI assigned
- Sep 12, 2005
- Last updated
- Jan 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036057616 | IL | Primary |
Addresses
Primary practice location
4711 Golf Rd
1200
Skokie, IL 60076-1224
Mailing address
PO Box 8159
Northfield, IL 60093-8159
Phone (847) 446-7911
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036057616 | Medicaid | IL | |
| 260039385 | Other | IL | RAILROAD RETIREMENT |
| 2160834332 | Other | IL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1850 Bowen St
Oshkosh, WI 54901-2356
Phone (920) 233-4011
4711 Golf Rd
Suite 1200
Skokie, IL 60076-1200
Phone (847) 446-7911
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036057616 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Neuro-Psych Technologies, LTD. | Psychiatry | Current | Accepting new patients |
Locations
275 E Army Trail Rd
Bloomingdale, IL 60108
Phone (630) 893-9616
803 Royal Dr
McHenry, IL 60050
Phone (815) 344-2600
4711 Golf Rd
Ste 1200
Skokie, IL 60076
Phone (847) 563-4488
1850 Bowen St
Oshkosh, WI 54901
Phone (920) 233-4011
Interoperability endpoints
- dbawden50674@direct.luhs.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Glenoaks
- Psychiatric Hospital Unit
- Glendale Heights, IL
- NPI 1477572949
-
dba Adventhealth Glenoaks
- General Acute Care Hospital
- Glendale Heights, IL
- NPI 1760415939
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
dba Northwestern Medicine Delnor Community Hospital
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262476800000",
"number": "1881688307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8159",
"city": "NORTHFIELD",
"state": "IL",
"postal_code": "600938159",
"telephone_number": "847-446-7911",
"fax_number": "847-386-6239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4711 GOLF RD",
"address_2": "1200",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761224",
"telephone_number": "847-446-7911",
"fax_number": "847-386-6239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAWDEN",
"first_name": "DAVID",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2010-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036057616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036057616",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "260039385",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2160834332",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.