MEDICARE: BAKO AGNES ORIONZI MD

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	208000000X	Pediatrics Physician	036161159	IL

General Provider Information

NPI Number	:	1114423597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAKO AGNES ORIONZI MD

Provider Business Mailing Address
First Line	:	225 E CHICAGO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2991
Country	:	US
Telephone Number	:	312-227-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	467 W DEMING PL STE 6000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-1881
Country	:	US
Telephone Number	:	312-227-6450
Fax Number	:	312-227-9441

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2018
Last Update Date	:	04/15/2025

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