Healthcare Provider Details

I. General information

NPI: 1730389685
Provider Name (Legal Business Name): FRANCES BAXLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 CHESTNUT AVE STE A
GLENVIEW IL
60026-8321
US

IV. Provider business mailing address

100 SAUNDERS RD STE 150
LAKE FOREST IL
60045-2526
US

V. Phone/Fax

Practice location:
  • Phone: 847-657-3540
  • Fax: 847-657-3530
Mailing address:
  • Phone: 501-203-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-131491
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: