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Individual

RICHARD M BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
104 OAKMONT RD, HIGHLAND PARK, IL 60035-4114
(847) 471-3828
(847) 432-6168
Mailing address
104 OAKMONT RD, HIGHLAND PARK, IL 60035-4114
(847) 471-3828
(847) 432-6168

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036054755
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618831
BCBS PROVIDER NUMBER
IL
05
036054755
IL
01
300118676
RR MEDICARE
IL
Enumeration date
07/11/2006
Last updated
12/31/2021
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