Organization · NPI-2

Baker Street Health PC

Internal Medicine · Orland Park, IL

NPI number1134028640
StatusActive
Last updated in NPPESNov 2, 2026

Details

NPI
1134028640
Entity type
Organization (NPI-2)
Legal business name
Baker Street Health PC
Organization subpart
No
Enumeration date
Nov 2, 2026
Certification date
Nov 2, 2026
Last updated
Nov 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207Q00000X Family Medicine––

Practice location

11304 Distinctive Dr
Orland Park, IL 60467-9459

Phone 708-529-8230 · Fax 205-606-8230

Mailing address

4850 N Broadway St
Chicago, IL 60640-0038

Phone 708-529-8230 · Fax 205-606-8230

Authorized official

David Tyson
Owner
8049864140

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