Individual
KEITH BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CADC
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 697-9307
Mailing address
228 BURTON DR, BARTLETT, IL 60103-1303
(847) 321-0573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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