MEDICARE: HOWARD M. BAIM, M.D., S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396933933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD M. BAIM, M.D., S.C.

Provider Business Mailing Address
First Line	:	2532 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2468
Country	:	US
Telephone Number	:	773-883-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	2532 N LINCOLN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2468
Country	:	US
Telephone Number	:	773-883-1177
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD M BAIM
Credential	:	M.D.
Telephone Number	:	773-883-1177

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	04/04/2008

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