Individual ProviderVirginia K BakerCounselorBehavioral Health & Social Service ProvidersPractice Address1201 S Veterans Pkwy, Suite B, Springfield, IL 62704-6321(217) 793-2770(217) 726-8363PECOS EnrollmentBased on the most recent information from CMS, provider Virginia K Baker does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114134541Provider TypeIndividualFull NameBaker, Virginia KCredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date5/16/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1201 S Veterans Pkwy, Suite B, Springfield, IL 62704-6321Phone(217) 793-2770Fax(217) 793-2887Mailing LocationMailing Address1515 W Ash St, Springfield, IL 62704-3407Phone(217) 726-8363FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerIllinois