Individual
MRS. VIRGINIA ANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN APN
Contact information
Practice address
5758 S MARYLAND AVE # MC9024, CHICAGO, IL 60637-1426
(773) 702-4108
Mailing address
10933 PIONEER TRL, FRANKFORT, IL 60423-7971
(815) 690-5399
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209.010056
IL
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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