Keith Baker, BA, CADC

Individual provider Active NPI Case Manager/Care Coordinator · Elgin, IL

NPI 1952845554 · NPPES record last updated Dec 15, 2016

Key facts

NPI
1952845554
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1845 Grandstand PL
Elgin, IL 60123-6603
Phone
(847) 697-9307
NPI assigned
Dec 15, 2016
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
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1845 Grandstand PL
Elgin, IL 60123-6603

Mailing address

228 Burton Dr
Bartlett, IL 60103-1303
Phone (847) 321-0573

Other providers in Elgin, IL

All providers in Elgin, IL · Case Manager/Care Coordinator in Illinois

Sources for this page

Verify at the official NPI Registry.