MARK A BAKER — OIG Excluded Provider (VENICE, IL, 1128b4)
MARK A BAKER — OIG Excluded Provider (VENICE, IL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARK A BAKER; Type: Individual; Provider category: PHARMACY.
| Name | MARK A BAKER |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | TECHNICIAN |
| City | VENICE |
| State | IL |
| ZIP | 62090 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2000-10-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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