Baciak, Krystal Marie

Baciak, Krystal Marie is an individual health care provider with primary practice located at 5841 S Maryland Ave # Mc5068 , Chicago IL 60637-1443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Baciak, Krystal Marie can be contacted via phone (914) 419-6557.

Contact Information

Primary practice address
5841 S Maryland Ave # Mc5068 Chicago IL 60637-1443
Phone: (914) 419-6557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2828461 New York
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A141508 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.143060 Illinois

Profile Details

NPI number 1871857565
LBN Legal business name Baciak, Krystal Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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