Individual
PRESTON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2040
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036169216
IL
208M00000X
Hospitalist Physician
Primary
036169216
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2021
Last updated
03/20/2024
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