Sam Baker Od PC
NPI #1639309701 in St Charles, Illinois
Provider Information
- NPI Number
- 1639309701
- Entity Type
- Organization
- Organization Name
- Sam Baker Od PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jul 22, 2009
- Last Updated
- Apr 3, 2012
Practice Location
- Address
- 150 SMITH RD
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-5203
- Phone
- (630) 513-9566
Authorized Official
- Name
- SAM BAKER
- Title
- PRESIDENT
- Phone
- (630) 513-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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