Search › Illinois › 207P00000X
Krystal Baciak, MD
NPI 1871857565 · on the registry since 2012
Practice
- Address
- 5841 S Maryland Ave # Mc5068
Chicago, IL 60637 - Phone
- (914) 419-6557
- Organisation at this address
- University Of Chicago Medical Center
University Of Chicago Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 1812 Verdugo Blvd, Glendale, CA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X
390200000X - Licence states on file
- NY, CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois