Christopher Baker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waukegan, IL
NPI 1619214723 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1619214723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3002 Grand Ave
Waukegan, IL 60085-2321 - Phone
- (847) 377-8200
- NPI assigned
- Jan 9, 2013
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3002 Grand Ave
Waukegan, IL 60085-2321
Mailing address
3002 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8200
Other providers in Waukegan, IL
- Ama Jane Baffoe
- Adrian Bahena
- Joy Bahena
- Vanessa Bahena
- Patricia Baiyewu
- Dhiya T Bakr
- Shumaila Bakr
- Lenette Baltazar
- Bam House Inc
- Adegboyega Bamidele
All providers in Waukegan, IL · Addiction (Substance Use Disorder) Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.