Individual
KATHRYN BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-4356
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-4356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296479
IL
Other
Enumeration date
07/19/2012
Last updated
04/20/2020
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