Bauer, Jerry
Bauer, Jerry is an individual health care provider with primary practice located at 1875 Dempster St Ste 605, Park Ridge IL 60068-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bauer, Jerry can be contacted via phone (847) 698-1088.Contact Information
Primary practice address
1875 Dempster St Ste 605
Park Ridge IL 60068-1186
Phone: (847) 698-1088
Fax: (847) 698-1087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036-051192 | Illinois |
Profile Details
| NPI number | 1861490427 |
|---|---|
| LBN Legal business name | Bauer, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Dec 23rd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861490427 | NPPES |
| Illinois | MEDICAID | 036051192 |
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