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1245017227
LIAHT BAUER
CHICAGO, IL
NPI
1245017227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085009978)
Enumeration Date
2023-09-12
Last Update Date
2023-10-03
Business Address
LIAHT BAUER PA-C
120 N SANGAMON ST
CHICAGO, IL 60607-2202
Phone number: 312-226-7984
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Mailing Address
LIAHT BAUER PA-C
304 N OAK PARK AVE APT 2
OAK PARK, IL 60302-2191
Phone number: 312-231-5642
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