Individual
JASON BAKSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 S. MICHIGAN AVE, 419, CHICAGO, IL 60601
(312) 330-3323
Mailing address
151 S. MICHIGAN AVE, 419, CHICAGO, IL 60601
(312) 330-3323
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
041.496403
IL
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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