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NPI Code Detail

MEDICARE: MICHAEL D BALDINGER M.D.

MEDICARE: MICHAEL D BALDINGER M.D.
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
1207R00000XInternal Medicine Physician036055789IL
2207RA0401XAddiction Medicine (Internal Medicine) Physician036055789IL

General Provider Information

NPI Number : 1598879223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D BALDINGER M.D.
Provider Business Mailing Address
First Line : 1150 W FULLERTON AVE
Second Line : 2ND FLR
City : CHICAGO
State : IL
Zip : 60614-8160
Country : US
Telephone Number : 773-549-7757
Fax Number : 773-549-1221
Provider Business Practice Location Address
First Line : 1150 W FULLERTON AVE
Second Line : 2ND FLR
City : CHICAGO
State : IL
Zip : 60614-8160
Country : US
Telephone Number : 773-549-7757
Fax Number : 773-549-1221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 03/03/2025

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