Provider Demographics
NPI:1184886061
Name:BACH, HAROLD HENRY IV (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HENRY
Last Name:BACH
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:847-390-5900
Mailing Address - Fax:
Practice Address - Street 1:3825 HIGHLAND AVE STE 303
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1562
Practice Address - Country:US
Practice Address - Phone:630-275-7800
Practice Address - Fax:630-241-9215
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.126328208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery