Individual
DR. JEANINE ALYCE BAQAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR, NORTHWESTERN MEDICAL FACULTY FOUNDATION SUITE 1000, CHICAGO, IL 60611-3092
(312) 695-0665
(312) 695-0665
Mailing address
680 N LAKE SHORE DR, NORTHWESTERN MEDICAL FACULTY FOUNDATION SUITE 1000, CHICAGO, IL 60611-3092
(312) 695-0665
(312) 695-0665
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036130994
IL
Other
Enumeration date
06/08/2008
Last updated
07/22/2015
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