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Elizabeth Bauer, PA
Medical Physician Assistant in Chicago, Illinois
NPI 1477851319

Elizabeth Bauer is a Medical Physician Assistant based in Chicago, IL and is specialized in Medical. Elizabeth Bauer practices in Chicago, IL and has the professional credentials of PA. The NPI Number for Elizabeth Bauer is 1477851319 and holds a License No. 085003983 (Illinois).

The current practice location address for Elizabeth Bauer is 3860 W Ogden Ave, Chicago, IL and can be reached out via phone at 872-588-3000.

Location: 3860 W Ogden Ave, Chicago, IL, 60623-2460
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Provider Profile Details
NPI Number
1477851319
Provider Name
Elizabeth Bauer
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3860 W Ogden Ave, Chicago, IL, 60623-2460
Phone Number
872-588-3000
Fax Number
Provider Enumeration Date
03/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085003983 01 IL IL STATE LICENSE NUMBER
385002761 01 IL ILLINOIS CONTROLLED SUBSTANCE NUMBER
1096486 01 IL SPECIALTY BOARDS
institution
Provider Business Practice Location Address Details
Address
3860 W Ogden Ave
City
State
Zip
60623-2460
Phone Number
872-588-3000
Fax Number
person
Provider Business Mailing Address Details
Address
3860 W Ogden Ave
City
State
Zip
60623-2460
Phone Number
872-588-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003983 (Illinois)
Definition
Definition to come...
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