Healthcare Provider Details

I. General information

NPI: 1881190387
Provider Name (Legal Business Name): GLORIA BAKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 09/29/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15255 S 94TH AVE STE 500
ORLAND PARK IL
60462-3895
US

IV. Provider business mailing address

15255 S 94TH AVE STE 500
ORLAND PARK IL
60462-3895
US

V. Phone/Fax

Practice location:
  • Phone: 708-682-1849
  • Fax:
Mailing address:
  • Phone: 708-682-1849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: