Individual
STEVEN THAD BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 BUCKLEY RD, NORTH CHICAGO, IL 60064-3092
(847) 688-1900
Mailing address
375 W WINCHESTER RD APT 204, LIBERTYVILLE, IL 60048-3916
(847) 702-3097
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.289912
IL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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