Individual
JULIA STOCK BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2645 W LAWRENCE AVE, CHICAGO, IL 60625-2944
(773) 275-1680
Mailing address
2645 W LAWRENCE AVE, CHICAGO, IL 60625-2944
(773) 275-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036159127
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/19/2019
Last updated
10/12/2022
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