Colby Baker, M.D.
Internal Medicine, Critical Care Medicine in Palos Heights, IL. Individual provider (NPI-1).
NPI number1245693845
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1245693845
- Entity type
- Individual (NPI-1)
- Name
- Colby Baker
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2016
- Certification date
- Jul 1, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | 036.149166 | IL | Yes |
| 207R00000X | Internal Medicine | 036.149166 | IL | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
12255 S 80th Ave Ste 204Palos Heights, IL 60463-1284
Phone 708-923-3388
Mailing address
12255 S 80th Ave Ste 204Palos Heights, IL 60463-1284
Phone 708-923-3388
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