| Doctor Name: | REBECCA J BAKER |
| NPI Number: | 1053557678 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN, CNP |
| License Number: | 209007296 |
| Business Practice Address: | 750 E Terra Cotta Ave Suite A Crystal Lake, IL - 600143621 |
| Business Phone Number: | 8154551800 |
| Business Fax Number: | 8154551875 |
| Mailing Address: | 750 E Terra Cotta Ave, Suite A CRYSTAL LAKE |
| State: | IL |
| Postal Code: | 600143621 |
| Phone Number: | 8154551800 |
| Fax Number: | 8154551875 |
| NPI Enumeration Date: | 01/02/2009 |
| NPI Last Update Date: | 05/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209007296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |