Healthcare Provider Details

I. General information

NPI: 1912840893
Provider Name (Legal Business Name): CHRIS Y. BAEK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9694 REDING CIR
DES PLAINES IL
60016-1551
US

IV. Provider business mailing address

9694 REDING CIR
DES PLAINES IL
60016-1551
US

V. Phone/Fax

Practice location:
  • Phone: 847-208-2825
  • Fax:
Mailing address:
  • Phone: 847-208-2825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051287660
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: