Whalio Doctors

NPI 1013270669

Matthew David Bauer, DVM

Practitioner Veterinarian Evergreen Park, IL

Practice location

Address
3811 W 95th St, Evergreen Park, IL 60805-2017
Phone
(708) 423-3200
Fax
(708) 423-3484
Mailing address
9225 S Clifton Park Ave, Evergreen Park, IL 60805-1508

Registered specialties

Veterinarian Primary
Other Service Providers Taxonomy 174M00000X Licence 090010121 (IL)

Registry record

NPI
1013270669
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jun 2012
Record last updated
19 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.