Baird, Marie Michele
Baird, Marie Michele is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 301 , Olympia Fields IL 60461-1182. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Baird, Marie Michele can be contacted via phone (708) 679-2850.Contact Information
Primary practice address
3700 W 203Rd St Ste 301
Olympia Fields IL 60461-1182
Phone: (708) 679-2850
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36151408 | Illinois |
Profile Details
NPI number | 1699129932 |
---|---|
LBN Legal business name | Baird, Marie Michele |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2016 |
Last updated | Mar 13th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699129932 | NPPES |
Illinois | MEDICAID | 036151408 | |
Illinois | Other | F400663829 |
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