Individual
AMISHA M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1502 ELMHURST RD, ELK GROVE VILLAGE, IL 60007-6421
(847) 228-0515
Mailing address
13 AEGINA DR, TINLEY PARK, IL 60477-4835
(847) 228-0515
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
04/19/2006
Last updated
02/15/2008
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