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Mr. Javon I Baker SR., BEPCERTIFICATE
Driver in Round Lake, Illinois
NPI 1588315212

Javon I Baker SR. is a Driver based in Round Lake, IL. Javon I Baker SR. practices in Round Lake, IL and has the professional credentials of BEPCERTIFICATE. The NPI Number for Javon I Baker SR. is 1588315212 and holds a License No. B260-4297-8034 (Illinois).

The current practice location address for Javon I Baker SR. is 222 W Forest Ave Apt 306, Round Lake, IL and can be reached out via phone at 312-914-7513.

Location: 222 W Forest Ave Apt 306, Round Lake, IL, 60073-3541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588315212
Provider Name
Javon I Baker SR.
Credential
BEPCERTIFICATE
Provider Entity Type
Individual
Gender
Male
Address
222 W Forest Ave Apt 306, Round Lake, IL, 60073-3541
Phone Number
312-914-7513
Fax Number
Provider Enumeration Date
01/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 W Forest Ave Apt 306
City
Round Lake
State
Illinois
Zip
60073-3541
Phone Number
312-914-7513
Fax Number
person
Provider Business Mailing Address Details
Address
222 W Forest Ave Apt 306
City
Round Lake
State
Illinois
Zip
60073-3541
Phone Number
312-914-7513
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
B260-4297-8034 (Illinois)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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