Baker, Mark William

Baker, Mark William is an individual health care provider with primary practice located at 2732N Lincoln Ave , Chicago IL 60614-7431. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baker, Mark William can be contacted via phone (312) 235-6773.

Contact Information

Primary practice address
2732N Lincoln Ave Chicago IL 60614-7431
Phone: (312) 235-6773
Fax: (312) 265-6312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009474 Illinois

Profile Details

NPI number 1619088804
LBN Legal business name Baker, Mark William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Nov 6th, 2015 - about 11 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 1619088804 NPPES
Illinois MEDICAID 038009474

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