PETER BAUM M.D. NPI 1164431391

NPI Information

  • NPI: 1164431391
  • Provider Name: PETER BAUM, M.D.
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1850 GATEWAY DR
    SYCAMORE, IL
    ZIP 60178
  • Phone: (815) 758-8671

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NPI Details

Peter Baum, M.D. is an allergy allergy immunology in Sycamore, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Peter Baum, M.D. NPI is 1164431391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1850 GATEWAY DR
SYCAMORE, IL
ZIP 60178-192
Phone: (815) 758-8671
Fax: (815) 758-5610

The NPI 1164431391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy036-061024ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036061024MEDICAIDILLINOIS
2008447OTHERILLINOISHEALTH ALLIANCE
3D15424MEDICARE UPINILLINOIS
4725170MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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