Search › Illinois › 103TP0016X
Jeremy Bidwell, PH.D
NPI 1609108703 · on the registry since 2010
Practice
- Address
- 111 Dean St
Woodstock, IL 60098 - Phone
- (815) 344-5061
- Fax
- (815) 344-5072
- Organisation at this address
- The Lodestone Center For Behavioral Health, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 103TP0016X
103TP0016X
- Also registered as
- 103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois