ELIZABETH BAUER


Address: 3256 W 24th St, Chicago, IL 60623
Phone: 8725883000

ELIZABETH BAUER (NPI# 1477851319) 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) 1477851319
Entity Type Individual
Full Name ELIZABETH BAUER
Other Name ELIZABETH MURRAY
Credential PA
Practice Address 3256 W 24th St
Chicago
IL 60623
Mailing Address 3860 W Ogden Ave
Chicago
IL 60623-2460
Practice Telephone 8725883000
Mailing Telephone 8725883000
Enumeration Date 2011-03-01
Last Update Date 2016-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
085003983 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA MM2334035 01
IL ILLINOIS CONTROLLED SUBSTANCE NUMBER 385002761 01
IL IL STATE LICENSE NUMBER 085003983 01

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1962966572 Elizabeth Bauer Counselor 140 Pine St., Hamburg, NY 14075 2019-01-28
1073089587 Elizabeth H Bauer Occupational Therapist 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 2018-10-23
1255721361 Elizabeth Louise Bauer Nurse Practitioner 205 N Berkley St, Council, ID 83612-5015 2015-01-27
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1043540495 Elizabeth Bauer Nurse Practitioner 824 N Black Horse Pike, Runnemede, NJ 08078-1034 2010-01-07
1164687182 Elizabeth M Bauer Speech-Language Pathologist 127 E State St, Gloversville, NY 12078-1204 2008-07-21

Office Location

Street Address 3256 W 24TH ST
City CHICAGO
State IL
Zip Code 60623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841779733 Katherine Bauer Nurse Practitioner 3256 W 24th St, Chicago, IL 60623-3407 2018-08-10

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1982019204 Sonrisa Dental Little Village 26th Clinic/Center 3059 S 26th St, Chicago, IL 60623 2014-06-25
1992055487 Margaret C Johnson Nurse Practitioner 3860 W. Ogden Ave, Chicago, IL 60623 2012-09-12
1023328390 Rebecca Franco Advanced Practice Midwife 2875 W. 19th St, Chicago, IL 60623 2010-10-20
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1598238883 Andrea Budzon Physician Assistant 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 2019-01-09
1760995161 Leena Abed Hamdan Physician Assistant 251 E Huron St Fl 1, Chicago, IL 60611-2908 2017-11-08
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Competitor

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City CHICAGO
Zip Code 60623

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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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