Individual
ANGELA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
5202 OLD ORCHARD RD STE N100, SKOKIE, IL 60077-4407
(847) 475-7080
(847) 475-0241
Mailing address
1S376 SUMMIT AVENUE, COURT E, OAKBROOK TERRACE, IL 60181-3985
(630) 424-0392
(630) 424-0467
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
211.000278
IL
224P00000X
Prosthetist
213.000264
IL
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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