Individual
REBECCA LYNN BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5405 N KNOXVILLE AVE, PEORIA, IL 61614-5016
(309) 691-4410
(309) 692-4730
Mailing address
4003 W TALUS CT, PEORIA, IL 61615-8903
(313) 916-2871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT194043
PA
207RC0000X
Cardiovascular Disease Physician
Primary
036-141130
IL
207RC0000X
Cardiovascular Disease Physician
4301106307
MI
Other
Enumeration date
07/11/2008
Last updated
02/03/2017
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