Justin Baker
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vernon Hills, IL
NPI 1871869032 · NPPES record last updated Mar 31, 2012
Key facts
- NPI
- 1871869032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 24647 N Milwaukee Ave
Vernon Hills, IL 60061-1567 - Phone
- (847) 377-7950
- Fax
- (847) 984-5635
- NPI assigned
- Mar 31, 2012
- 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
24647 N Milwaukee Ave
Vernon Hills, IL 60061-1567
Mailing address
3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8296
Other providers in Vernon Hills, IL
- Elizabeth Ayers
- Teresa Bae
- Charles J Bagdade
- Hayder F. Bahrani
- Howard R Baker
- Fadi Bakhos
- Amanda Bakken
- Balanced Psychiatry, LLC
- Tamara Balcerzak
- Grace Barajas
All providers in Vernon Hills, 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 Mar 31, 2012. 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.