KRISTIN KEGLOVITZ BAKER (NPI# 1235154097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235154097 |
| Entity Type | Individual |
| Full Name | KRISTIN KEGLOVITZ BAKER |
| Other Name | KRISTIN L. KEGLOVITZ |
| Credential | P.A.-C |
| Practice Address |
4025 N Sheridan Rd Chicago IL 60613-2010 |
| Mailing Address |
1730 W Farragut Ave Chicago IL 60640-2012 |
| Practice Telephone | 7733888870 |
| Practice Fax Number | 7733888936 |
| Mailing Telephone | 7739720724 |
| Mailing Fax Number | 7733888936 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085002665 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992345813 | Kristin Baker | Nurse Practitioner | 14310 E 42nd St S Ste 600, Independence, MO 64055-7308 | 2020-01-08 |
| 1639532419 | Kristin Lee Baker | Emergency Medicine | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2016-03-30 |
| 1790167344 | Kristin A Baker | Nurse Practitioner | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2015-06-19 |
| 1801109632 | Kristin Michelle Baker | Social Worker | 800 Hospital Dr, Columbia, MO 65201-5275 | 2010-07-21 |
| 1093951204 | Kristin Elizabeth Baker | Nurse Practitioner | 7 Woodlake Trl, Mount Vernon, OH 43050-8103 | 2008-12-18 |
| 1003087396 | Kristin Marie Baker | Specialist/Technologist | 201 Wood St, Pittsburgh, PA 15222-1912 | 2008-03-14 |
| 1831390699 | Kristin Baker | Social Worker | 4505 E 47th St S, Wichita, KS 67210-1651 | 2007-05-30 |
| Street Address |
4025 N SHERIDAN RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221744 | Joshua Thomas Titus | Pharmacist | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2005-11-11 |
| 1770106965 | Michael E. Fanelli | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-05-21 |
| 1588283865 | Colton W Sherell | Pharmacy Technician | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-04-15 |
| 1528607967 | Rebecca M Grundy | Physician Assistant | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2020-01-02 |
| 1780142919 | Krista Leigh Yank | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2019-03-06 |
| 1659863843 | Angela E'akels | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2018-06-04 |
| 1629574561 | Tiffany Eve Tamasfi | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613 | 2018-03-31 |
| 1184166001 | Josh Lopez | Nurse Practitioner | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2016-11-09 |
| 1386008274 | Liza Brockway | Social Worker | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2016-04-07 |
| 1528432994 | Kira Elizabeth Weidner | Psychologist | 4025 N Sheridan Rd, Chicago, IL 60613-2010 | 2015-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1598238883 | Andrea Budzon | Physician Assistant | 2940 N Kimball Ave Apt 2, Chicago, IL 60618-6846 | 2019-01-09 |
| 1760995161 | Leena Abed Hamdan | Physician Assistant | 251 E Huron St Fl 1, Chicago, IL 60611-2908 | 2017-11-08 |
| 1134580079 | Joseph Smith II | Physician Assistant | 654 E 84th St, Chicago, IL 60619-5802 | 2016-03-18 |
| 1679950232 | Alexis Davidman | Physician Assistant | 20 S Clark St Ste, Chicago, IL 60603-1802 | 2015-05-04 |
| 1669861589 | Stewart David Harsant | Physician Assistant | 1702 N Milwaukee Ave, Chicago, IL 60647-5424 | 2015-01-15 |
| 1063817013 | Jenna Lynn Sniegowski | Physician Assistant | 675 N Saint Clair St Fl 21, Chicago, IL 60611-5975 | 2014-11-01 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306270137 | Brianne Patricia Randall | Physician Assistant | California Blvd. At 15th St., Chicago, IL 60608 | 2013-08-28 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.