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NPI Code Detail

MEDICARE: MR. MARK WILLIAM BAKER DC

MEDICARE: MR. MARK WILLIAM BAKER DC
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
1111N00000XChiropractor038009474IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619088804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK WILLIAM BAKER DC
Provider Business Mailing Address
First Line : 2732N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7431
Country : US
Telephone Number : 312-235-6773
Fax Number : 312-265-6312
Provider Business Practice Location Address
First Line : 2732N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7431
Country : US
Telephone Number : 312-235-6773
Fax Number : 312-265-6312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/04/2025

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Directions to “ MR. MARK WILLIAM BAKER DC” Practice Location

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