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Dr. Michael D Bauer, M.D.

Pediatrics in Lake Bluff, IL. Individual provider (NPI-1).

NPI number1881635530
StatusActive
Last updated in NPPESMar 20, 2015

Details

NPI
1881635530
Entity type
Individual (NPI-1)
Name
Dr. Michael D Bauer
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 10, 2006
Last updated
Mar 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics3672939ILYes

Practice location

917 Sherwood Dr
Lake Bluff, IL 60044-2203

Phone 847-295-1220 · Fax 847-295-1255

Mailing address

917 Sherwood Dr
Lake Bluff, IL 60044-2203

Phone 847-295-1220 · Fax 847-295-1255

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