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Individual
DR. DANIEL ALEXANDER BAKSTON
Active
Individual
DR. DANIEL ALEXANDER BAKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036132917
IL
2083X0100X
Occupational Medicine Physician
01080808A
IN
2083X0100X
Occupational Medicine Physician
125060324
IL
390200000X
Student in an Organized Health Care Education/Training Program
036132917
IL
Other
Enumeration date
09/07/2010
Last updated
10/09/2025
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