Provider Demographics
NPI:1730389685
Name:BAXLEY, FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:BAXLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SAUNDERS RD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60045-2526
Mailing Address - Country:US
Mailing Address - Phone:501-203-9002
Mailing Address - Fax:
Practice Address - Street 1:2400 CHESTNUT AVE STE A
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8321
Practice Address - Country:US
Practice Address - Phone:847-657-3540
Practice Address - Fax:847-657-3530
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-131491207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036131491Medicaid
IL036131491Medicaid