| Julia Bauer | |
|
800 Roosevelt Rd Ste E220 Glen Ellyn IL 60137-5868 | |
| (630) 551-8417 | |
| Not Available |
| Full Name | Julia Bauer |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 800 Roosevelt Rd Ste E220, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Julia Bauer (LCSW) |
| Authorized Official Contact | 3095324040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Bauer 800 Roosevelt Rd Ste E220 Glen Ellyn IL 60137-5868 Ph: () - | Julia Bauer 800 Roosevelt Rd Ste E220 Glen Ellyn IL 60137-5868 Ph: (630) 551-8417 |
| NPI Number | 1578301610 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578301610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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