Individual
MARIE MICHELE BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3700 W 203RD ST STE 301, OLYMPIA FIELDS, IL 60461-1182
(708) 679-2850
Mailing address
1040 SIERRA DR STE 400, GREENWOOD, IN 46143-7241
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36151408
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036151408
—
IL
01
—
F400663829
MEDICARE
IL
Enumeration date
04/22/2016
Last updated
03/13/2021
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