Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LUANN BAUER
Active Sole ProprietorPoint of Service · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1184192643
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 2, 2018 (7.4675063627411 yrs)
- Last Updated
- Nov 2, 2018
- License
-
20-1975060 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
63 N WILLIAMS STCRYSTAL LAKE, IL, 600144443Browse IL providers · Browse ZIP 60014
- Phone
- 8153569900
- Primary Specialty
-
Point of Service
305S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.