# DR. ADRIENNE BAKSINSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033272323
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02003414A | IN | Yes |
| 207Q00000X | Family Medicine Physician | 036-093300 | IL | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 02/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300043336 | — | IN |
| 01 | — | 471400632 | MEDICARE | IN |