SearchIllinois305S00000X

Luann Bauer

NPI 1184192643 · on the registry since 2018 · sole proprietor

Practice

Address
63 N Williams St
Crystal Lake, IL 60014
Phone
(815) 356-9900

Registry record

Primary taxonomy
305S00000X
305S00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-02

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