Individual
DR. DOUGLAS NORMAN BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
38 OAK CREEK PLAZA, MUNDELEIN, IL 60060-4493
(847) 949-7300
(847) 949-7352
Mailing address
38 OAK CREEK PLAZA, MUNDELEIN, IL 60060-4493
(847) 949-7300
(847) 949-7352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022004
IL
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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