Catherine Baker, MD

Individual provider Active NPI Internal Medicine Physician · Lemont, IL

NPI 1871609354 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1871609354
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
Practice address
15505 127TH St
Lemont, IL 60439-4433
Phone
(630) 257-2265
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15505 E 127TH St
Lemont, IL 60439-0958

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital · New Lenox, IL · CCN 140213

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101222000081 IL Practitioner - Internal Medicine 8022206796

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-076242ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lemont Primary Care, SC Internal Medicine Current
since Dec 1, 2001
Accepting new patients

Locations

15505 E 127th St
Lemont, IL 60439
Phone (630) 243-8888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Yes

Addresses

Primary practice location

15505 127TH St
Lemont, IL 60439-4433

Mailing address

15505 127TH St
Lemont, IL 60439-4433
Phone (630) 257-2265

Other providers in Lemont, IL

All providers in Lemont, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.