Provider Demographics
NPI:1518479674
Name:BAKER, LINDA (MS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LINDA BAKER
Mailing Address - Street 2:160 COUNTY ROAD 1200 NORTH
Mailing Address - City:NEOGA
Mailing Address - State:IL
Mailing Address - Zip Code:62447
Mailing Address - Country:US
Mailing Address - Phone:217-895-2200
Mailing Address - Fax:
Practice Address - Street 1:850 EAST 7TH STREET
Practice Address - Street 2:
Practice Address - City:NEOGA
Practice Address - State:IL
Practice Address - Zip Code:62447-6244
Practice Address - Country:US
Practice Address - Phone:217-895-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist