Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Krystal Marie Baciak, MD

Individual provider Emergency Medicine Physician · NPI 1871857565

Dr. Krystal Marie Baciak, MD is an Emergency Medicine in Chicago, Illinois. Graduated from New York Medical College in 2012, 14 years ago. Practices with Seattle Emergency Physicians Services Inc Ps, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Illinois and New York.

Years since qualifying
14
Trained at
New York Medical College
Licensed in
CA, IL, NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave # MC5068
Chicago, IL 60637-1443
Phone: (914) 419-6557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1812 Verdugo Blvd, Glendale, CA 91208-1407 — (818) 790-7100

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036.143060 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2828461 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A141508 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871857565
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2012 (14 years in practice)
Group practice Seattle Emergency Physicians Services Inc Ps — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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