Individual provider · Type 1 NPI

Liaht Bauer, PA-C

Physician Assistant · Oak Park, IL

NPI number 1245017227 Active

Practice location

932 Lake St # 300
Oak Park, IL 60301-1204

Fax (331) 221-2730

Mailing address

2650 Ridge Ave # 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085009978 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245017227

Liaht Bauer, PA-C's National Provider Identifier is 1245017227, issued on Sep 12, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Oak Park, IL. The record was last updated on Apr 16, 2026.