NPI 1215935739 · live from the CMS NPI Registry
Jeffrey Ronald Baker, DPM
Podiatrist, Foot & Ankle Surgery in Chicago, IL. National Provider Identifier 1215935739, active.
NPI record
| NPI | 1215935739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 939 W North Ave Ste 610, Chicago, IL 60642 |
| Practice phone | 847-390-7666 |
| Mailing address | 1660 Feehanville Dr Ste 450, Mount Prospect, IL 60056 |
| Enumerated | July 8, 2005 |
| Last updated | December 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016-005146 (IL) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 016-005146 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.