Individual
DR. JOHN STEPHEN BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
885 ROOSEVELT RD, GLEN ELLYN, IL 60137-6141
(630) 384-6330
(630) 384-6339
Mailing address
885 ROOSEVELT RD, GLEN ELLYN, IL 60137-6141
(630) 384-6330
(630) 384-6339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125050970
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122379
—
IL
01
—
487450
MEDICARE GROUP PTAN
IL
Enumeration date
07/10/2008
Last updated
02/06/2018
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