Bauer, Amanda L

Bauer, Amanda L is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bauer, Amanda L can be contacted via phone (773) 926-1220.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.372194 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 209.014196 Illinois

Profile Details

NPI number 1760937270
LBN Legal business name Bauer, Amanda L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Aug 25th, 2016 - about 8 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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