Baker, Jeffrey Ronald

Baker, Jeffrey Ronald is an individual health care provider with primary practice located at 939 W North Ave Ste 610 , Chicago IL 60642-7138. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Baker, Jeffrey Ronald can be contacted via phone (847) 390-7666.

Contact Information

Primary practice address
939 W North Ave Ste 610 Chicago IL 60642-7138
Phone: (847) 390-7666
Fax: (847) 390-9345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016-005146 Illinois
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005146 Illinois

Profile Details

NPI number 1215935739
LBN Legal business name Baker, Jeffrey Ronald
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215935739 NPPES
Illinois MEDICAID 016005146
Illinois Other 60000380

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