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
Fax: (847) 432-6168
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053346726 NPPES
Illinois Other 300118676 RR MEDICARE
Illinois Other 01618831 RR MEDICARE
Illinois MEDICAID 036054755 RR MEDICARE

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