Matthew David Bauer, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

090010121 Issued in IL

Practice address

3811 W 95TH St
Evergreen Park, IL 60805-2017

Phone

(708) 423-3200

Fax

(708) 423-3484

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1013270669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 S CLIFTON PARK AVE",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051508",
            "telephone_number": "773-307-5208",
            "fax_number": "708-423-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052017",
            "telephone_number": "708-423-3200",
            "fax_number": "708-423-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "IL",
            "license": "090010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wassim Ballany, M.D.
• Bambinos Therapy, Inc.
• Merrill Barnes, MD
• Basel Al-Aswad M D S C
• Josefina Batista, MD
• Maria G Bayas, NP
• Ammar Adnan Bayrakdar, MD
• Be the Breakthrough Counseling Solutions LLC
• Richard Beaty, D.O.
• David P Beckmann, MD

• Veterinarian in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Veterinarian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.