Individual
DR. THOMAS EDWARD BAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 MILWAUKEE AVE, LIBERTYVILLE, IL 60048
(847) 634-1766
(847) 634-2894
Mailing address
105 N GREENLEAF ST, GURNEE, IL 60031-3326
(847) 623-3090
(847) 623-9620
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
036.063419
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063419
—
IL
01
—
04915144
BLUE CROSS BLUE SHIELD OF
IL
Enumeration date
10/27/2005
Last updated
02/02/2021
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