Individual
NORA RAHN BAUMGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
680 N LAKE SHORE DR, CHICAGO, IL 60611
(312) 695-0665
Mailing address
1341 W GRANVILLE AVE UNIT 1, CHICAGO, IL 60660-1910
(860) 817-1927
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005268
IL
Other
Enumeration date
11/14/2014
Last updated
05/16/2018
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