Baer, Michelle

Baer, Michelle is an individual health care provider with primary practice located at 680 N Lake Shore Dr Ste 117 , Chicago IL 60611-4448. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Baer, Michelle can be contacted via phone (312) 654-1166.

Contact Information

Primary practice address
680 N Lake Shore Dr Ste 117 Chicago IL 60611-4448
Fax: (312) 654-5288
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 036085060 Illinois

Profile Details

NPI number 1679569248
LBN Legal business name Baer, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated May 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679569248 NPPES
Illinois Other 363283051 OWCP PROVIDER ID
Illinois Other 1627123 OWCP PROVIDER ID
Illinois MEDICAID 036085060 OWCP PROVIDER ID

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