Dr Daniel Alexander Bakston, MD | |
835 S. Wolcott Ave E-144, University Of Illinois Medical Center, Chicago, IL 60612-4006 | |
(312) 413-0369 | |
Not Available |
Full Name | Dr Daniel Alexander Bakston |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 835 S. Wolcott Ave E-144, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821305269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 01080808A (Indiana) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | 125060324 (Illinois) | Primary |
Entity Name | Community Care Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
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Dr Daniel Alexander Bakston, MD 835 S. Wolcott Ave E-144, University Of Illinois Medical Center, Chicago, IL 60612-4006 Ph: (312) 413-0369 | Dr Daniel Alexander Bakston, MD 835 S. Wolcott Ave E-144, University Of Illinois Medical Center, Chicago, IL 60612-4006 Ph: (312) 413-0369 |
Dr. Anne Judith Krantz, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Harrison St, Chicago, IL 60612 Phone: 312-864-6000 | |
Dr. Arooj Sheriff Mohammed, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 835 S Wolcott Ave, Chicago, IL 60612 Phone: 219-440-6443 | |
Michelle Theresa Watters, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2121 W Taylor St, Sph/eohs, Occ. Med., Mc 684, Chicago, IL 60612 Phone: 312-413-0369 | |
Elijah Ezeofor, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2133 W Lexington St, 2nd Floor Chicago Dept. Of Public Helath, Chicago, IL 60612 Phone: 312-746-4664 Fax: 312-746-6526 | |
Dr. Patrick Mccafferty Lank, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 211 E Ontario St, Suite 200, Chicago, IL 60611 Phone: 312-926-6494 | |
Dr. Lourdes Mella Hilao, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 4243 W Fullerton Ave, Chicago, IL 60639 Phone: 773-489-5110 Fax: 773-489-5111 | |
Armando Salinas, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2133 W Lexington St, Chicago, IL 60612 Phone: 312-746-5050 Fax: 312-746-6526 |