Individual
MS. LINDA SUSAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1810 FOX DR, CHAMPAIGN, IL 61820
(217) 398-8080
(217) 398-8568
Mailing address
2209 MELROSE DR APT A, CHAMPAIGN, IL 61820-2044
(217) 352-0709
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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