| Robert S Baker Md Ltd | |
|
4160 Rt 83 Ste #106 Long Grove IL 60047-5083 | |
| (847) 955-1139 | |
| (815) 955-1139 |
| Full Name | Robert S Baker Md Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 4160 Rt 83, Long Grove, Illinois |
| Authorized Official Name and Position | Faye Fields (BILLING MANAGER) |
| Authorized Official Contact | 8153561559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Baker Md Ltd 4160 Rt 83 Ste #106 Long Grove IL 60047-5083 Ph: (847) 955-1139 | Robert S Baker Md Ltd 4160 Rt 83 Ste #106 Long Grove IL 60047-5083 Ph: (847) 955-1139 |
| NPI Number | 1841499183 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841499183 | NPI | - | NPPES |
| 036058454 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 036058454 (Illinois) | Primary |
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