Individual
TARA LYNN BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
834 N SEMINARY STREET, SUITE 402, GALESBURG, IL 61401-0500
(309) 343-5117
(309) 343-0029
Mailing address
834 N SEMINARY STREET, SUITE 402, GALESBURG, IL 61401-0500
(309) 343-5117
(309) 343-0029
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036125991
IL
Other
Enumeration date
01/30/2008
Last updated
07/20/2010
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