MR. Javon I Baker SR., BEP CERTIFICATE
NPI #1588315212 in Round Lake, Illinois
Provider Information
- NPI Number
- 1588315212
- Entity Type
- Individual
- Name
- MR. Javon I Baker SR., BEP CERTIFICATE
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Driver
- Credential
- BEP CERTIFICATE
- Enumeration Date
- Jan 13, 2022
- Last Updated
- Jan 13, 2022
Practice Location
- Address
- 222 W FOREST AVE APT 306
- City
- Round Lake
- State
- Illinois
- ZIP Code
- 60073-3541
- Phone
- (312) 914-7513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Driver |
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