Individual
MARI B BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3070
Mailing address
8940 N WOOD SAGE RD, PEORIA, IL 61615-7822
(309) 243-3000
(309) 243-3070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-114578
IL
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114578
—
IL
01
—
800810
MEDICARE GROUP NO.
—
01
—
CA3486
MEDICARE RR GROUP
IL
Enumeration date
07/03/2006
Last updated
03/02/2026
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