Individual
DR. SANFORD BAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 250, CHICAGO, IL 60612-3861
(312) 942-6163
(312) 563-2096
Mailing address
1725 W HARRISON ST STE 250, CHICAGO, IL 60612-3861
(312) 942-6163
(312) 563-2096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-050354
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
036-050354
IL
207RR0500X
Rheumatology Physician
Primary
036-050354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028409-00
—
FL
01
—
110047729
MEDICARE RAILROAD
WI
Enumeration date
06/28/2006
Last updated
07/13/2023
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