Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAVON I BAKER SR., BEP CERTIFICATE
ActiveMR. JAVON I BAKER SR., BEP CERTIFICATE is a Driver healthcare provider located in ROUND LAKE, Illinois. NPI 1588315212 is currently active in the NPPES registry. Verify at CMS.
Driver · ROUND LAKE, IL
Registration Details
- NPI Number
- 1588315212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2022 (4.5565541368074 yrs)
- Last Updated
- Jan 13, 2022
- License
-
B260-4297-8034 (IL)
Practice Information
- Address
-
222 W FOREST AVE APT 306ROUND LAKE, IL, 600733541Browse IL providers · Browse ZIP 60073
- Phone
- 3129147513
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.