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Individual

DR. MICHAEL LEONARD BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
171 N NELTNOR BLVD, WEST CHICAGO, IL 60185-2315
(630) 231-0777
(630) 231-0667
Mailing address
171A N NELTNOR BLVD, WEST CHICAGO, IL 60185-2315
(630) 231-0777
(630) 231-0667

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010351
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038-010351
IL LICENSE NUMBER
IL
Enumeration date
07/31/2006
Last updated
11/30/2016
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