Individual
JUDITH JEAN-BAPTISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
Mailing address
75 REMIT DR, LOCKBOX 1209, CHICAGO, IL 60675-1209
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-104039
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104039
—
IL
Enumeration date
07/13/2006
Last updated
12/11/2008
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