Richard J Baker (NPI# 1376879122, PAC ID# 2163564253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376879122 |
| PAC ID by PECOS | 2163564253 |
| Professional Enrollment ID | I20100128000156 |
| Full Name | Richard J Baker |
| Organization Legal Name | CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD |
| Address |
3801 Ireland Grove Rd Bloomington IL 61704-5297 |
| Phone Number | 3096640101 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0547444507 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 | 3096640101 | CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD |
| Organization Legal Name | CENTRAL ILLINOIS ANESTHESIOLOGY ASSOCIATES, LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Hawkins | Anesthesiology | Central Illinois Anesthesiology Associates, Ltd | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 |
| Praful G Vakil | Anesthesiology | Central Illinois Anesthesiology Associates, Ltd | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 |
| Street Address |
3801 IRELAND GROVE RD |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61704-5297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Lanzerotte | Anesthesiology | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 | |
| Eric Hawkins | Anesthesiology | Central Illinois Anesthesiology Associates, Ltd | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 |
| Zbigniew Kujalowicz | Anesthesiology | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 | |
| Praful G Vakil | Anesthesiology | Central Illinois Anesthesiology Associates, Ltd | 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Swanson | Clinical Social Worker | Elliott Counseling Services LLC | 209 S Prospect, Suite 1, Bloomington, IL 61704 |
| Cheri Miller | Psychologist, Clinical | Advocate Health and Hospitals Corporation | 303 N Hershey, Suite 2c, Bloomington, IL 61704 |
| Dennis M Brtva | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Christopher James Wetzler | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Ashley Elizabeth Foster | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Preston Langdon Smith | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Kristine C Winkler | Nurse Practitioner | Encounter Telehealth LLC | 11 Harbor Pointe Ct, Bloomington, IL 61704-1409 |
| Robert J Hermann | Chiropractic | 2415 E Washington St F, Bloomington, IL 61704-1609 | |
| Robert D Brown | Chiropractic | 2422 E Washington St, Suite 202, Bloomington, IL 61704-1611 | |
| Julie R Dostal | Registered Dietitian Or Nutrition Professional | 2412 E Washington St, Suite 1b, Bloomington, IL 61704-1613 | |
| Find all physicians in zip 61704 | |||
| City | BLOOMINGTON |
| Zip Code | 61704 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BLOOMINGTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.