Individual
JOSEPH R BAUMGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 KINGSBURY DR, DEKALB, IL 60115-8283
(815) 758-8621
(815) 758-5838
Mailing address
374 KINGSBURY DR, DEKALB, IL 60115-8283
(815) 758-8621
(815) 758-5838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-066682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066682
—
IL
Enumeration date
09/14/2005
Last updated
09/17/2012
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