Baum, Peter
Baum, Peter is an individual health care provider with primary practice located at 1850 Gateway Dr , Sycamore IL 60178-3192. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Baum, Peter can be contacted via phone (815) 758-8671.Contact Information
Primary practice address
1850 Gateway Dr
Sycamore IL 60178-3192
Phone: (815) 758-8671
Fax: (815) 758-5610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 036-061024 | Illinois |
Profile Details
| NPI number | 1164431391 |
|---|---|
| LBN Legal business name | Baum, Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 28th, 2011 - about 15 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 | 1164431391 | NPPES |
| Illinois | MEDICAID | 036061024 | |
| Illinois | Other | 008447 |
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