Individual
JEFFREY S. BAKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1786 MOON LAKE BLVD, SUITE #100, HOFFMAN ESTATES, IL 60169-5029
(847) 882-9300
(847) 882-9348
Mailing address
1786 MOON LAKE BLVD, SUITE #100, HOFFMAN ESTATES, IL 60169-5029
(847) 882-9300
(847) 882-9348
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036086309
IL
207ND0900X
Dermatopathology Physician
036086309
IL
207NP0225X
Pediatric Dermatology Physician
036086309
IL
207NS0135X
Procedural Dermatology Physician
036086309
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360863092
—
IL
01
—
1621016
BCBS
—
Enumeration date
07/20/2005
Last updated
01/29/2020
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