Individual
MR. RICHARD JOSPEH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 E 12TH ST, MENDOTA, IL 61342-9216
(815) 875-6001
(815) 875-3612
Mailing address
1401 E 12TH ST, MENDOTA, IL 61342-9216
(815) 539-7461
(815) 538-5516
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007858
IL
Other
Enumeration date
10/29/2009
Last updated
05/20/2015
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