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Luann Bauer
Point of Service in Crystal Lake, Illinois
NPI 1184192643

Luann Bauer is a Point of Service based in Crystal Lake, IL. Luann Bauer practices in Crystal Lake, IL. The NPI Number for Luann Bauer is 1184192643 and holds a License No. 20-1975060 (Illinois).

The current practice location address for Luann Bauer is 63 N Williams St, Crystal Lake, IL and can be reached out via phone at 815-356-9900. You can also correspond with Luann Bauer through the mailing address at 63 N WILLIAMS ST, CRYSTAL LAKE, IL - 60014-4443 (mailing address contact number: 815-356-9900).

Location: 63 N Williams St, Crystal Lake, IL, 60014-4443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184192643
Provider Name
Luann Bauer
Credential
Provider Entity Type
Individual
Gender
Female
Address
63 N Williams St, Crystal Lake, IL, 60014-4443
Phone Number
815-356-9900
Fax Number
Provider Enumeration Date
11/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-1975060 01 IL TAX ID #
institution
Provider Business Practice Location Address Details
Address
63 N Williams St
City
Crystal Lake
State
Illinois
Zip
60014-4443
Phone Number
815-356-9900
Fax Number
person
Provider Business Mailing Address Details
Address
63 N Williams St
City
Crystal Lake
State
Illinois
Zip
60014-4443
Phone Number
815-356-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
20-1975060 (Illinois)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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