Individual provider Active NPI

Mark William Baker, DC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1619088804
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009474 Issued in IL
Practice address
2732N Lincoln Ave
Chicago, IL 60614-7431
Phone
(312) 235-6773
Fax
(312) 265-6312
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038009474 IL Primary

Addresses

Primary practice location

2732N Lincoln Ave
Chicago, IL 60614-7431

Mailing address

2732N Lincoln Ave
Chicago, IL 60614-7431
Phone (312) 235-6773

Other practice location 1

6110 Turtle Point Dr
Austin, TX 78746-7244
Phone (312) 925-1267

Other identifiers 1

IdentifierTypeStateIssuer
038009474MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000727 IL Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3870547912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite HealthcareGroup PAC ID 3072567114, 3 clinicians

Practice addresses (Care Compare)

2732 N Lincoln Ave
Suite 1
Chicago, IL 60614-7432
Phone (312) 235-6773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038009474ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Healthcare Chiropractor CurrentSince May 16, 2009 Accepting new patients

Locations

2732 N Lincoln Ave
Ste 1
Chicago, IL 60614
Phone (312) 235-6773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1619088804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147431",
            "telephone_number": "312-235-6773",
            "fax_number": "312-265-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147431",
            "telephone_number": "312-235-6773",
            "fax_number": "312-265-6312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6110 Turtle Point Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787467244",
            "country_code": "US",
            "telephone_number": "312-925-1267",
            "fax_number": "312-265-6312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009474",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.