DR. CRYSTAL BAUER


Address: 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068
Phone: 7732348068

DR. CRYSTAL BAUER (NPI# 1437439320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437439320
Entity Type Individual
Full Name DR. CRYSTAL BAUER
Credential PSY.D.
Practice Address 350 S Northwest Hwy Ste 300
Park Ridge
IL 60068
Mailing Address 350 S Northwest Hwy Ste 300
Park Ridge
IL 60068-4262
Practice Telephone 7732348068
Mailing Telephone 7732348068
Enumeration Date 2011-08-23
Last Update Date 2018-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 1415 KS Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
071.009484 IL Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
20042751A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS TLMLP 1415 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
900 Ridge Rd, Munster, IN 463211726 2192287630

Office Location

Street Address 350 S NORTHWEST HWY STE 300
City PARK RIDGE
State IL
Zip Code 60068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083872741 Monica M Argumedo Psychiatry & Neurology 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2008-05-29
1386259828 Aisling Conaty Counselor 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2020-09-11
1477170934 Sj.s. Medical Testing Services Clinical Medical Laboratory 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2020-07-01
1952940488 Syed Haque Pathology 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2020-01-01
1558826446 Zanib Bibi Behavior Technician 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2019-02-05
1356819833 Laura Finnelly In Home Supportive Care 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2018-11-02
1174001879 Anxiety Wellness Center of Chicagoland Psychologist 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2018-08-03
1710405006 Park Ridge Psychotherapy and Counseling Services, Inc. Counselor 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2017-09-06
1346581113 Fred Jendo Specialist/Technologist, Other 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2013-03-04
1053610055 Specialized Audiology Services PC Audiologist 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 2011-03-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861010720 Caitlin Marie Kompanowski Dentist 412 W. Talcott, Park Ridge, IL 60068 2020-07-08
1972142198 Center for Authentic Living, Inc. Counselor 120 Main Street Suite 200, Park Ridge, IL 60068 2020-01-06
1306312152 Maryann Almores Devilla Physical Medicine & Rehabilitation Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 2018-10-19
1053808857 Landon Ginsberg Student in an Organized Health Care Education/Training Program 1775 Ballard, Park Ridge, IL 60068 2018-04-17
1255828448 Vera W Brink Obstetrics & Gynecology Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 2018-04-13
1205367448 Courtney Heim Psychiatry & Neurology 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 2017-03-21
1720521362 Alexander Mylonas Psychologist 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 2016-11-30
1376090878 Rebecca Rajasekhar Audiologist 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 2016-09-01
1164818449 Mohammad Taha Mustaf Taha Mustafa Sheikh Student in an Organized Health Care Education/Training Program 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 2015-04-13
1518397918 Megan Roberts Speech-Language Pathologist 2240 Campus Dr., Evanston, IL 60068 2013-11-21
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679198055 Ditchek Psychological Services, Pllc Psychologist 1580 N Northwest Hwy Ste 228e, Park Ridge, IL 60068-1468 2020-06-11
1891260485 Lazzaro Psychological Services, PC Psychologist 36 Main St Ste 105, Park Ridge, IL 60068-4059 2018-10-10
1598279234 Patricia Villarreal Psychologist 444 N Northwest Hwy Ste 250, Park Ridge, IL 60068-3276 2017-11-16
1720521362 Alexander Mylonas Psychologist 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 2016-11-30
1821154899 Erika Bokor Psychologist 1400 N Northwest Hwy Ste 305, Park Ridge, IL 60068-1310 2006-12-27
1285725044 Joseph Adams Braun Psychologist 6 Spring Valley Rd, Park Ridge, NJ 07656-1821 2006-09-27
1902906324 The Juniper Center, PC Psychologist 1440 Renaissance Drive, Suite 320, Park Ridge, IL 60068-1471 2006-09-25
1891802757 Amy L. Robinson Psychologist 1480 Renaissance Dr Ste 212, Park Ridge, IL 60068-1353 2006-08-24
1700857745 Linda Lee Powers Psychologist 1480 N Northwest Hwy, Suite 205, Park Ridge, IL 60068-1431 2006-01-29
1457351082 Clifford W. Rot Psychologist 2604 Dempster St, Suite 510, Park Ridge, IL 60068-8412 2005-07-26
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Competitor

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City PARK RIDGE
Zip Code 60068

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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