Bruce S Bauer
Plastic Surgery in Chicago, IL. Individual provider (NPI-1).
NPI number1366437287
StatusActive
Last updated in NPPESOct 24, 2022
Details
- NPI
- 1366437287
- Entity type
- Individual (NPI-1)
- Name
- Bruce S Bauer
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2005
- Last updated
- Oct 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 036051399 | IL | Yes |
Practice location
5841 S Maryland AveChicago, IL 60637-1443
Phone 888-824-0200
Mailing address
150 Harvester DrSuite 300
Burr Ridge, IL 60527-5919
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