Theresa Bauer

NPI 1023299724 · on the registry since 2007

Practice

Address: 233 W Joe Orr Rd
Chicago Heights, IL 60411
Phone: (708) 754-1044
Fax: (708) 747-3497
Organisation at this address: Aunt Marthas Youth Service Ctr
Laboratory Corporation Of America
Aunt Martha'S Health And Wellness, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 124Q00000X
124Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois