Healthcare Provider Details

I. General information

NPI: 1194842815
Provider Name (Legal Business Name): CHRISTINE PATRICIA BAKER RN, CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1447
US

IV. Provider business mailing address

8741 WEDGEWOOD DR
BURR RIDGE IL
60527-6394
US

V. Phone/Fax

Practice location:
  • Phone: 773-702-9618
  • Fax:
Mailing address:
  • Phone: 630-908-7791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number041-219185
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163WC2100X
TaxonomyContinence Care Registered Nurse
License Number041-219185
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License Number041-219185
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number277000877
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: