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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1861490427 NPPES
Illinois MEDICAID 036051192

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