Organization
COLLECTED IN THE SPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARINA BAUER PSYD (CLINICAL PSYCHOLOGIST)
(773) 322-2385
Entity
Organization
Contact information
Practice address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(773) 322-2385
Mailing address
661 W LAKE ST STE 2S, CHICAGO, IL 60661-1034
(773) 322-2385
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
05/10/2023
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