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Individual

COLBY BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-3388
Mailing address
12255 S 80TH AVE STE 204, PALOS HEIGHTS, IL 60463-1284
(708) 923-3388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.149166
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.149166
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2016
Last updated
07/15/2022
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