Provider Demographics
NPI:1790888386
Name:GARFIELD, BONNIE SCHWARTZ (PH D)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:SCHWARTZ
Last Name:GARFIELD
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1893 SHERIDAN RD
Mailing Address - Street 2:1
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2628
Mailing Address - Country:US
Mailing Address - Phone:847-433-5859
Mailing Address - Fax:847-433-2422
Practice Address - Street 1:1893 SHERIDAN RD
Practice Address - Street 2:1
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2628
Practice Address - Country:US
Practice Address - Phone:847-433-5859
Practice Address - Fax:847-433-2422
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071004017103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04972071OtherBLUE CROSS BLUE SHIELD
4607174OtherAETNA INSURANCE
IL04972071OtherBLUE CROSS BLUE SHIELD