Individual
JAMES ALBERT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-3351
Mailing address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-3351
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002162
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00409001
MEDICARE RAILROAD
IL
Enumeration date
05/24/2007
Last updated
02/18/2008
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