Jerry Bauer MD SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

JERRY BAUER MD SC

Practice address

1875 W Dempster
Suite 605
Park Ridge, IL 60068-1168

Phone

(847) 698-1088

Fax

(847) 698-1087

NPI assigned

Jul 28, 2005

Organization subpart

No

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

Authorized official

Name

Lisa M Labbate

Title

Office MGR

Phone

(847) 698-1088

Specialties & licenses 1

Addresses

Other names 1

• Center of Brain and Spine Surgery Doing business as

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902806326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER",
            "address_2": "SUITE 605",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681168",
            "telephone_number": "847-698-1088",
            "fax_number": "847-698-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER",
            "address_2": "SUITE 605",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681168",
            "telephone_number": "847-698-1088",
            "fax_number": "847-698-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY BAUER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "LABBATE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "847-698-1088"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Brain and Spine Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center of Brain and Spine Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milica Janosevic, DO
• Haley Nicole Janousek, M.A. CCCC-SLP
• Kimberly Ann Jastremski, SLP
• Ashwin Jayachandran, M.D.
• Jeffrey S. Waitzman, M.D.,S.C.
• Harold Jesser, MD
• Yogesh S Jethava, MD
• Eliot Jia, MD
• Jillian M. Wickery, PH.D., Psychological Services PLLC
• Ebony Louise Jiminez Lee

• Neurological Surgery Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.