Bauer, Laura

Bauer, Laura is an individual health care provider with primary practice located at 1786 Moon Lake Blvd Suite 104, Hoffman Estates IL 60169-5029. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bauer, Laura can be contacted via phone (847) 755-8090.

Contact Information

Primary practice address
1786 Moon Lake Blvd Suite 104 Hoffman Estates IL 60169-5029
Fax: (847) 843-7393
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041-293307 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209-005726 Illinois

Profile Details

NPI number 1104877000
LBN Legal business name Bauer, Laura
Credentials APN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 1st, 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 1104877000 NPPES
Illinois Other 209-005726 APN LICENSE
Illinois Other 041-293307 APN LICENSE

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