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NPI Code Detail

MEDICARE: MRS. KIMBERLY A BAKER LPC

MEDICARE: MRS. KIMBERLY A BAKER LPC
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
1101YP2500XProfessional Counselor178021422IL

General Provider Information

NPI Number : 1790585867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY A BAKER LPC
Provider Business Mailing Address
First Line : 333 SKOKIE BLVD STE 108
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1623
Country : US
Telephone Number : 847-231-2735
Fax Number :
Provider Business Practice Location Address
First Line : 333 SKOKIE BLVD STE 108
Second Line :
City : NORTHBROOK
State : IL
Zip : 60062-1623
Country : US
Telephone Number : 847-231-2735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2025
Last Update Date : 03/17/2025

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Directions to “ MRS. KIMBERLY A BAKER LPC” Practice Location

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