Luann Bauer Valid NPI
Individual provider · Point of Service · Crystal Lake, IL
- NPI
- 1184192643
- Type
- Individual (Type 1)
- Primary specialty
- Point of Service
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305S00000X
- License number
- 20-1975060 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-11-02
- Last updated
- 2018-11-02
Practice location
63 N Williams St
Crystal Lake, IL 60014-4443
(815) 356-9900