MEDICARE: AKILAH BAKER LCSW

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	1041C0700X	Clinical Social Worker	149.015481	IL

General Provider Information

NPI Number	:	1497007272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKILAH BAKER LCSW

Provider Business Mailing Address
First Line	:	10540 S WESTERN AVE STE 208
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-2529
Country	:	US
Telephone Number	:	872-400-6113
Fax Number	:	866-903-0238

Provider Business Practice Location Address
First Line	:	10540 S WESTERN AVE STE 208
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-2529
Country	:	US
Telephone Number	:	872-400-6113
Fax Number	:	866-903-0238

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

Provider Enumeration Date	:	10/04/2012
Last Update Date	:	02/18/2026

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