Search › Illinois › 235Z00000X
Colleen Bauer
NPI 1831601467 · on the registry since 2017 · sole proprietor
Practice
- Address
- 305 Jacob St
Saint Jacob, IL 62281 - Phone
- (618) 644-2541
Additional practice sites
- 16 Squire Dr, Glen Carbon, IL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NULL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois