NPI 1891944450 · live from the CMS NPI Registry
Marilyn L Baker, MS, RD, CDE
Dietitian, Registered, Nutrition, Metabolic in Highland Park, IL. National Provider Identifier 1891944450, active.
NPI record
| NPI | 1891944450 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Metabolic 133VN1006X |
| Practice location | 777 Park Ave W, Highland Park, IL 60035 |
| Practice phone | 847-926-5032 |
| Mailing address | 1277 Regent Dr, Mundelein, IL 60060 |
| Enumerated | September 18, 2008 |
| Last updated | September 18, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Metabolic primary | 133VN1006X | 164.000692 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.