KELLY J BAUMAN

CENTEGRA PRIMARY CARE LLC

Dr KELLY J BAUMAN is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2011.

Contact

CENTEGRA PRIMARY CARE LLC

360 STATION DR
SUITE 150
CRYSTAL LAKE
IL
600147978

Tel: 8153386600

KELLY J BAUMAN Information

Npi 1174802730
Pac Id 3274859277
Professional Enrollment Id I20150311000286
Last Name BAUMAN
First Name KELLY
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CENTEGRA PRIMARY CARE LLC
Group Practice Pac Id 0446157630
Number Of Group Practice Members 136
Line 1 Street Address 360 STATION DR
Line 2 Street Address SUITE 150
Marker Of Address Line 2 Suppression
City CRYSTAL LAKE
State IL
Zip Code 600147978
Phone Number 8153386600
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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