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Dr. Krystal Marie Baciak, MD
Emergency Medicine Physician in Chicago, Illinois
NPI 1871857565

Krystal Marie Baciak is a Emergency Medicine Physician based in Burr Ridge, IL. Krystal Marie Baciak practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Krystal Marie Baciak is 1871857565 and holds a License No. 2828461 (Illinois).

The current practice location address for Krystal Marie Baciak is 5841 S Maryland Ave # Mc5068, Chicago, IL and can be reached out via phone at 914-419-6557.

Location: 5841 S Maryland Ave # Mc5068, Chicago, IL, 60527-5965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871857565
Provider Name
Krystal Marie Baciak
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave # Mc5068, Chicago, IL, 60527-5965
Phone Number
914-419-6557
Fax Number
Provider Enumeration Date
06/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave # Mc5068
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
914-419-6557
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave # Mc5068
City
Chicago
State
Illinois
Zip
60637-1443
Phone Number
914-419-6557
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A141508 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2828461 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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