Baird, John Stephen

Baird, John Stephen is an individual health care provider with primary practice located at 885 Roosevelt Rd , Glen Ellyn IL 60137-6141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baird, John Stephen can be contacted via phone (630) 384-6330.

Contact Information

Primary practice address
885 Roosevelt Rd Glen Ellyn IL 60137-6141
Phone: (630) 384-6330
Fax: (630) 384-6339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125050970 Illinois

Profile Details

NPI number 1851555619
LBN Legal business name Baird, John Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2008
Last updated Feb 6th, 2018 - about 7 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 1851555619 NPPES
Illinois Other 487450 MEDICARE GROUP PTAN
Illinois MEDICAID 036122379 MEDICARE GROUP PTAN

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