Search › Illinois › 363LF0000X
Nicholas Bauder, APN
NPI 1275216699 · on the registry since 2023
Practice
- Address
- 2148 Vadalabene Dr
Maryville, IL 62062 - Phone
- (618) 877-4420
- Organisation at this address
- Genoa Healthcare Llc
Chestnut Health Systems
Chestnut Health Systems Inc.
Chestnut Health Systems Inc.
Chestnut Health Systems, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 1 Barnes Jewish Hospital Plz, Saint Louis, MO
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163W00000X - Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-18
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