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Individual

KATIE ANN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7421 MADISON ST, UNIT 1, FOREST PARK, IL 60130
(847) 909-1490
Mailing address
7421 MADISON ST, UNIT 1, FOREST PARK, IL 60130
(847) 909-1490

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005248
IL

Other

Enumeration date
09/20/2019
Last updated
09/20/2019
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