Michelle Baker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · McHenry, IL
NPI 1649486259 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649486259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 16425 (IL)
- Practice address
- 4100 Veterans Parkway
McHenry, IL 60050 - Phone
- (815) 385-6400
- NPI assigned
- May 14, 2007
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16425 | IL | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 16425 | IL | Yes |
Addresses
Primary practice location
4100 Veterans Parkway
McHenry, IL 60050
Mailing address
4100 Veterans Parkway
McHenry, IL 60050
Phone (815) 385-6400
Other providers in McHenry, IL
- Shaji Mariyam Baig
- Chazz Bailey
- Deborah L Bailey
- Ayla Bakar
- Lori Baker
- Madelyn Balfour
- Ashley Ball
- Catina Mary Ballin
- Ifzal K Bangash
- John M Banjo-Osalusi
All providers in McHenry, 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 Jul 8, 2007. 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.