DR. DANIEL ALEXANDER BAKSTON


Address: 835 S. Wolcott Ave E-144, University of Illinois Medical Center, Chicago, IL 60612-4006
Phone: 3124130369

DR. DANIEL ALEXANDER BAKSTON (NPI# 1821305269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821305269
Entity Type Individual
Full Name DR. DANIEL ALEXANDER BAKSTON
Credential M.D.
Practice Address 835 S. Wolcott Ave E-144
University of Illinois Medical Center
Chicago
IL 60612-4006
Practice Telephone 3124130369
Mailing Telephone 3124130369
Enumeration Date 2010-09-07
Last Update Date 2019-05-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
01080808A IN Allopathic & Osteopathic Physicians
Y 2083X0100X Preventive Medicine
Specialization: Occupational Medicine
125060324 IL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
9200 Calumet Ave Ste N502, Munster, IN 463212862 2194405286

Office Location

Street Address 835 S. WOLCOTT AVE E-144
UNIVERSITY OF ILLINOIS MEDICAL CENTER
City CHICAGO
State IL
Zip Code 60612-4006

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1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
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Taxonomy Information

Taxonomy Code 2083X0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Occupational Medicine

Taxonomy Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720517568 Avrom Simon Preventive Medicine 128 S Aberdeen St Unit 5s, Chicago, IL 60607-1507 2017-06-06
1194951913 Sonya Meyers Preventive Medicine 835 S Wolcott Ave # E144, Chicago, IL 60612-3748 2009-06-08
1912112830 Luis R Munoz Preventive Medicine 1721 North Ashland Ave, Chicago, IL 60622 2007-05-14
1487869616 Jeffrey Ellis Coe Preventive Medicine 22 North Morgan, Suite 110, Chicago, IL 60607 2007-05-11
1457403784 Carlito Villabona Orig Preventive Medicine 6500 N 65th St, Chicago, IL 60638 2007-01-17
1437174299 Teresa Haskins Preventive Medicine 3473 S King Dr, Ste # 511, Chicago, IL 60616-4108 2006-07-13
1114476397 U.S. Healthworks Medical Group of Illinois, PC Preventive Medicine 614 W Monroe St, Chicago, IL 60661-3654 2016-09-28
1508102054 U S Medical Group Inc Preventive Medicine 925 W Chicago Ave, Chicago, IL 60642-7265 2013-01-02
1902191539 Andrew Aldeen Gordon Preventive Medicine 835 S Wolcott Ave, E-144b, Chicago, IL 60612-3748 2011-06-11
1679892889 The Montrose Medical Group, LLC Preventive Medicine 4757 W Montrose Ave, Chicago, IL 60641-1504 2010-05-27
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Competitor

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City CHICAGO
Zip Code 60612

Improve Information

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Dataset Information

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.

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