Individual
DR. JEFFREY RONALD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
939 W NORTH AVE STE 610, CHICAGO, IL 60642-7138
(847) 390-7666
(847) 390-9345
Mailing address
1660 FEEHANVILLE DR STE 450, MOUNT PROSPECT, IL 60056-6023
(847) 390-7666
(847) 390-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016-005146
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005146
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005146
—
IL
01
—
60000380
BCBS
IL
Enumeration date
07/08/2005
Last updated
12/17/2021
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