Dawn Baker, CSFA
Individual provider Active NPI Surgical Assistant · Normal, IL
NPI 1902156995 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1902156995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- Practice address
- 1604 Visa Dr
Ste. 2
Normal, IL 61761-2195 - Phone
- (309) 846-4716
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Extra Hands Surgical Services | Surgical Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Yes |
Addresses
Primary practice location
1604 Visa Dr
Ste. 2
Normal, IL 61761-2195
Mailing address
1604 Visa Dr
Ste. 2
Normal, IL 61761-2195
Phone (309) 846-4716
Other providers in Normal, IL
- Kacey Ayres
- Jara Bachtold
- Back to Health of B/N, Inc
- Juan Fabien Baez
- Geraldine B Baird
- Loretta Baker
- Balance Within Wellness PLLC
- Karen Jane Bandusch Harris
- Barnes Dental Associates
- Bradley William Barnes
All providers in Normal, IL · Surgical Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 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.