Bauer, Richard M
Bauer, Richard M is an individual health care provider with primary practice located at 104 Oakmont Rd , Highland Park IL 60035-4114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bauer, Richard M can be contacted via phone (847) 471-3828.Contact Information
Primary practice address
104 Oakmont Rd
Highland Park IL 60035-4114
Phone: (847) 471-3828
Fax: (847) 432-6168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036054755 | Illinois |
Profile Details
| NPI number | 1053346726 |
|---|---|
| LBN Legal business name | Bauer, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Dec 31st, 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 | 1053346726 | NPPES |
| Illinois | Other | 300118676 | RR MEDICARE |
| Illinois | Other | 01618831 | RR MEDICARE |
| Illinois | MEDICAID | 036054755 | RR MEDICARE |
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