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NPI Code Detail

MEDICARE: MRS. LAUREN MICHELLE BAUER LSW

MEDICARE: MRS. LAUREN MICHELLE BAUER LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150009823IL

General Provider Information

NPI Number : 1588121669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN MICHELLE BAUER LSW
Provider Business Mailing Address
First Line : 910 SKOKIE BLVD STE 215
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4033
Country : US
Telephone Number : 847-480-0300
Fax Number : 847-291-0576
Provider Business Practice Location Address
First Line : 910 SKOKIE BLVD STE 215
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-4033
Country : US
Telephone Number : 847-480-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 07/01/2024

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