Provider Demographics
NPI:1871581918
Name:BAYER, NANCY E (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:BAYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 CONCORD LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4511
Mailing Address - Country:US
Mailing Address - Phone:469-995-0093
Mailing Address - Fax:
Practice Address - Street 1:780 CONCORD LN
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-4511
Practice Address - Country:US
Practice Address - Phone:469-995-0093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6820111N00000X
AR1387111N00000X
IL038006183111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1632590OtherBLUE CROSS
T39080Medicare UPIN
203156Medicare ID - Type Unspecified