Kristel E Bauer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1072528 Issued in IL

Practice address

900 N Shore Dr Ste 120
Lake Bluff, IL 60044-2225

Phone

(847) 615-1698

Fax

(847) 615-1697

NPI assigned

Jan 7, 2009

Last updated

Feb 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1508003997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N SHORE DR STE 120",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442225",
            "telephone_number": "847-615-1698",
            "fax_number": "847-615-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SHORE DR STE 120",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442225",
            "telephone_number": "847-615-1698",
            "fax_number": "847-615-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "KRISTEL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "1072528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Avilina, PA
• Robert Alfred Bahlmann, LPC
• Samantha Patricia Bailey, DO
• Danielle Marie Baran, PH.D.
• Joseph John Baric Jr., DC
• Michael D Bauer, M.D.
• Mofoluke Olubunmi Bayode, LPC
• Bee Happy Therapy PLLC
• Nicolle Bek
• Beneficent Anesthesia LTD

• Physician Assistant in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.