Individual
MRS. MARILYN L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDE
Contact information
Practice address
777 PARK AVE W, HIGHLAND PARK, IL 60035-2433
(847) 926-5032
(847) 480-2705
Mailing address
1277 REGENT DR, MUNDELEIN, IL 60060-2084
(847) 566-0791
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
164.000692
IL
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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