Individual
LIAHT BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
932 LAKE ST # 300, OAK PARK, IL 60301-1204
(331) 221-9001
(331) 221-2730
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009978
IL
Other
Enumeration date
09/12/2023
Last updated
04/16/2026
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