ELIZABETH BAUER (NPI# 1477851319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085003983 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MM2334035 | 01 | |
| IL | ILLINOIS CONTROLLED SUBSTANCE NUMBER | 385002761 | 01 |
| IL | IL STATE LICENSE NUMBER | 085003983 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528697414 | Elizabeth Allison Bauer | Physical Medicine & Rehabilitation | 175 S Union Blvd Ste 245, Colorado Springs, CO 80910-3125 | 2020-04-03 |
| 1518336072 | Elizabeth Bauer | Speech-Language Pathologist | 3880 Stoneridge Rd, Carlsbad, CA 92010-7073 | 2015-09-15 |
| 1548868425 | Elizabeth Jean Bauer | Pharmacist | 5212 3rd Ave, Kearney, NE 68845-2831 | 2020-10-13 |
| 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 |
| 1093142424 | Elizabeth Bauer | Case Manager/Care Coordinator | 2413 2nd St, Eureka, CA 95501-0811 | 2013-09-30 |
| 1952640310 | Elizabeth May Bauer | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2013-02-05 |
| 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 |
| Street Address |
3256 W 24TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841779733 | Katherine Bauer | Nurse Practitioner | 3256 W 24th St, Chicago, IL 60623-3407 | 2018-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 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 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| 1861639023 | Community Occupational Therapy | Occupational Therapist | 3000 S. Pulaski Rd., Chgo, IL 60623 | 2009-01-09 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 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 |
| 1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| Find all providers in CHICAGO | ||||
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| 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.