Robert S Baker MD LTD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

036058454 Issued in IL

Legal business name

ROBERT S BAKER MD LTD

Practice address

4160 RT 83
Ste #106
Long Grove, IL 60047-5083

Phone

(847) 955-1139

Fax

(815) 955-1139

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Faye Fields

Title

Billing Manager

Phone

(815) 356-1559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Jean Miller, PSY.D., L.C.P.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1609193044
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1841499183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 RT 83",
            "address_2": "STE #106",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475083",
            "telephone_number": "847-955-1139",
            "fax_number": "815-955-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 RT 83",
            "address_2": "STE #106",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475083",
            "telephone_number": "847-955-1139",
            "fax_number": "815-955-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S BAKER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "815-356-1559"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "IL",
            "license": "036058454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036058454",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Marie Pott, O.D.
• Primelink Home Health Care
• Professional Dental Alliance of Illinois Specialty, PLLC
• Reginald Spears MD LLC
• Joseph A Renguso, M.S., L.C.P.C.
• Robert Villa DDS, PLLC
• Abbey Rosenquist, DPT
• Kimberly Rosenthal, D.O..
• Rosin Optical Co., Inc.
• Susannah Elizabeth Ross

• Geriatric Psychiatry Physician in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Geriatric Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.