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Organization
MTB 1, INC.
Active
Organization
MTB 1, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L BAUER D.C. (PRESIDENT)
(260) 494-6071
Entity
Organization
Contact information
Practice address
171 N NELTNOR BLVD # A, WEST CHICAGO, IL 60185-2315
(630) 231-0777
(630) 231-0777
Mailing address
956 PARK HILL CIRCLE, AURORA, IL 60502-9093
(630) 585-5283
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010351
IL
Other
Enumeration date
12/02/2011
Last updated
12/20/2011
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