Baines, Debra D

Baines, Debra D is an individual health care provider with primary practice located at 2525 S Michigan Ave , Chicago IL 60616-2333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Baines, Debra D can be contacted via phone (312) 567-2000.

Contact Information

Primary practice address
2525 S Michigan Ave Chicago IL 60616-2333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-090235 Illinois

Profile Details

NPI number 1295832079
LBN Legal business name Baines, Debra D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 10th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295832079 NPPES
Illinois MEDICAID 036090235

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