Provider Demographics
NPI:1316813595
Name:BARDELL, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BARDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 US HIGHWAY 34 STE 3
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-9827
Mailing Address - Country:US
Mailing Address - Phone:847-457-6730
Mailing Address - Fax:
Practice Address - Street 1:11000 US HIGHWAY 34 STE 3
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-9827
Practice Address - Country:US
Practice Address - Phone:847-457-6730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.116005104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker