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1215610498
MATTHEW ROBERT ELLSWORTH BAKER
PARK RIDGE, IL
NPI
1215610498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 1215610498)
Enumeration Date
2023-08-14
Last Update Date
2024-06-13
Business Address
MATTHEW ROBERT ELLSWORTH BAKER MD
1775 BALLARD RD
PARK RIDGE, IL 60068-1005
Phone number: 473-189-3408
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Mailing Address
MATTHEW ROBERT ELLSWORTH BAKER MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-7766
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