| Bruce S Bauer, | |
|
5841 S Maryland Ave, Chicago, IL 60637-1443 | |
| (888) 824-0200 | |
| Not Available |
| Full Name | Bruce S Bauer |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 5841 S Maryland Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366437287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 036051399 (Illinois) | Primary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Shriners Hospitals For Children |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871930693 PECOS PAC ID: 9133031933 Enrollment ID: O20131009001351 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce S Bauer, 150 Harvester Dr, Suite 300, Burr Ridge, IL 60527-5919 Ph: () - | Bruce S Bauer, 5841 S Maryland Ave, Chicago, IL 60637-1443 Ph: (888) 824-0200 |
Parit A Patel, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 737 N Michigan Ave Ste 1820, Chicago, IL 60611 Phone: 312-819-5338 Fax: 312-819-5337 | |
Dr. Mark Jonathan Landau, M.D., PH.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5841 S. Maryland Avenue; Mail Code 6035, Chicago, IL 60637 Phone: 773-702-6302 | |
Akira Yamada, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 Fax: 312-227-9408 | |
Lyndsay Ann Kandi, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6035, Chicago, IL 60637 Phone: 773-702-6302 Fax: 773-702-1634 | |
Dr. Diane L Gerber, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 250 E Pearson St, #2803, Chicago, IL 60611 Phone: 312-280-8707 | |
Alexandra Polovneff, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S. Maryland Ave., Plastic Surgery Department, Chicago, IL 60637 Phone: 888-824-0200 | |
Emily Jean Miller, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2026, Chicago, IL 60637 Phone: 773-702-6024 Fax: 773-702-1161 |