DR. MARY CHRISTINE BALDAUF


Address: 2400 N Rockten Ave, Rockford Health Physicians, Rockford, IL 61103-3619
Phone: 8159712000

DR. MARY CHRISTINE BALDAUF (NPI# 1447271911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447271911
Entity Type Individual
Full Name DR. MARY CHRISTINE BALDAUF
Credential MD
Practice Address 2400 N Rockten Ave
Rockford Health Physicians
Rockford
IL 61103-3619
Mailing Address 2400 N Rockten Ave.
Rockford Health Physicians
Rockford
IL 61103-3619
Practice Telephone 8159712000
Mailing Telephone 8159712000
Enumeration Date 2006-07-21
Last Update Date 2012-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
202595 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 02128930 05

Office Location

Street Address 2400 N ROCKTEN AVE
ROCKFORD HEALTH PHYSICIANS
City ROCKFORD
State IL
Zip Code 61103-3619

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598398497 The Elitist Group Home Health Aide 2929 N Main Street, Rockford, IL 61103 2020-02-19
1972064194 Mahita Bellamkonda Student in an Organized Health Care Education/Training Program 2400 North Rockton Avenue, Rockford, IL 61103 2019-03-29
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1841385242 Rachel Pawlowski Occupational Therapist 3616 N. Main Street, Rockford, IL 61103 2006-10-03
1417068438 Alicia Anne Huntley Midwife 2400 Rockton Ave, Rockford, IL 61103 2006-08-31
1639190200 Glendon Burress Pediatrics 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 2006-07-21
1225065204 Daniel William Johnson Dentist 519 Toner Av, Rockford, IL 61103 2006-06-27
1760472898 Ronald Peter Oberfoell Anesthesiology 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 2005-10-28
1841752532 Dipti Sabharwal Student in an Organized Health Care Education/Training Program 2400 N Rockton Avenue, Rockford, IL 61103 2019-04-02
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881769214 Joel M. Manaligod Pediatrics 2400 N Rockton Ave, Rockford, IL 61103-3655 2006-11-21
1467562652 Robert D. Restuccia Pediatrics 2400 N Rockton Ave, Rockford, IL 61103 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982150702 Kayla Duvall Pediatrics 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 2016-08-31
1215304258 Huda Adam Pediatrics 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 2015-08-25
1699916932 Deanna Marie Behrens Pediatrics 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 2009-03-17
1326207663 Lauren Elizabeth Marsillio Pediatrics 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 2008-06-02
1376606491 Pallavi P. Patwari Pediatrics 1620 W Harrison St, Suite 7 Kellogg, Chicago, IL 60612-3801 2006-12-19
1972665974 Denise M. Goodman Pediatrics 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 2006-12-15
1447267497 Enrique Guillermo Cifuentes Pediatrics 4440 W. 95th Street, Oak Lawn, IL 60453 2006-08-02
1386659415 Bharat K Kotadia Pediatrics 1822 Arlington Ln, Glendale Heights, IL 60139-1309 2006-07-29
1407897887 Rachel K Wolfson Pediatrics 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 2006-06-09
1992770291 Anwarul Haque Pediatrics Dept of Pediatric Critical Care, 530 Ne Glen Oak, Peoria, IL 61637-0001 2006-02-21
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Competitor

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City ROCKFORD
Zip Code 61103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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