Most Relevant Information
Provider Data
| NPI Number: | 1003054339 |
| Provider Name: | AMBER D BAUER-GAMBLA PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 071007604 |
Most Important Dates
| Enumeration Date: | 01/23/2009 |
| Last Updated: | 02/16/2010 |
Provider Practice Location
25 EAST WASHINGTON STREET
SUITE 1601
CHICAGO
IL
60602
Practice Location Phone/Fax
| Phone: | 3127208008 |
| Fax: |
Provider Mailing Location
25 EAST WASHINGTON STREET
SUITE 1601
CHICAGO
IL
60602
Provider Mailing Phone/Fax
| Phone: | 7734120010 |
| Fax: |