Basic Information
| Provider Information | |||||||||
| NPI: | 1437110707 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAER | ||||||||
| FirstName: | RACHEL | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 319 W LINCOLN | ||||||||
| Address2: | |||||||||
| City: | BARRINGTON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476956600 | ||||||||
| FaxNumber: | 8466954279 | ||||||||
| Practice Location | |||||||||
| Address1: | 745 FLETCHER DR | ||||||||
| Address2: | #302 | ||||||||
| City: | ELGIN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476956600 | ||||||||
| FaxNumber: | 8476954279 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2006 | ||||||||
| LastUpdateDate: | 04/07/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 036102743 | IL | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | 036102743 | IL | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
ID Information
| ID | Type | State | Issuer | Description | 036102748 | 05 | IL | MEDICAID | 4515536 | 01 | BCBS | OTHER |