Individual
MARSHALL S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01061857A
IN
208600000X
Surgery Physician
036103523
IL
208600000X
Surgery Physician
Primary
13149947-1205
UT
Other
Enumeration date
05/13/2006
Last updated
06/13/2023
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