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Contact Information

MARSHALL S BAKER
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MARSHALL S BAKER · (Male)

NPI # 1720039803
Status Active
Credentials
Entity Individual
Enumeration date 05/13/2006
Last updated 06/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036103523
  • IN License # 01061857A
  • UT License # 13149947-1205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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