Individual
JANAE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5737 S BISHOP ST, CHICAGO, IL 60636-1710
(773) 963-3796
Mailing address
5737 S BISHOP ST, CHICAGO, IL 60636-1710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
057004429
IL
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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