Organization
ROBERT S BAKER MD LTD
Active
Organization
ROBERT S BAKER MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE FIELDS (BILLING MANAGER)
(815) 356-1559
Entity
Organization
Contact information
Practice address
4160 RT 83, STE #106, LONG GROVE, IL 60047-5083
(847) 955-1139
(815) 955-1139
Mailing address
4160 RT 83, STE #106, LONG GROVE, IL 60047-5083
(847) 955-1139
(815) 955-1139
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
036058454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058454
—
IL
Enumeration date
07/17/2007
Last updated
02/08/2012
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