Bayer, Keith Russell
Bayer, Keith Russell is an sole proprietor health care provider with primary practice located at 5225 Old Orchard Rd Suite 34, Skokie IL 60077-4405. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bayer, Keith Russell can be contacted via phone (847) 231-3729.Contact Information
Primary practice address
5225 Old Orchard Rd Suite 34
Skokie IL 60077-4405
Phone: (847) 231-3729
Fax: (847) 581-1895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149011633 | Illinois |
Profile Details
| NPI number | 1316996085 |
|---|---|
| LBN Legal business name | Bayer, Keith Russell |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Oct 11th, 2023 - 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 | 1316996085 | NPPES |
| Illinois | Other | 01635849 | BCBS-IL PROVIDER NUMBER |
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