Individual
DR. JOHN P BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NO.2819-057
WI
Other
Enumeration date
02/02/2010
Last updated
01/29/2020
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