SearchIllinois103K00000X

Rae Bardell, BCBA, LCSWM

NPI 1629025044 · on the registry since 2006 · sole proprietor

Practice

Address
920 W Prairie Dr Ste G
Sycamore, IL 60178
Phone
(815) 291-3887
Organisation at this address
Advanced Optometry
Swedishamerican Hospital
Sycamore Integrated Health, Ltd
Advanced Family Eyecare Ctr. Inc
Timothy Tronc Counseling & Consulting Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Additional practice sites

  • 206 S Stanton St, Shannon, IL

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
103K00000X
1041C0700X
1041S0200X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-29

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