MEDICARE: DR. FREDRIC BERTRAM BAUER M.D.

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
1	208D00000X	General Practice Physician	036044278	IL

General Provider Information

NPI Number	:	1770813446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDRIC BERTRAM BAUER M.D.

Provider Business Mailing Address
First Line	:	1215 SPRING CREEK RD
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-5017
Country	:	US
Telephone Number	:	847-888-8875
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 SPRING CREEK RD
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60120-5017
Country	:	US
Telephone Number	:	847-888-8875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2010
Last Update Date	:	05/17/2026

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Directions to “ DR. FREDRIC BERTRAM BAUER M.D.” Practice Location

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