Individual
KATLYN CHRISTINE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5580
(708) 684-4068
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209029589
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
209029589
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
5016851
NC
Other
Enumeration date
07/22/2022
Last updated
08/30/2024
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