MIGUEL BAUTISTA

CHICAGO, IL
NPI1245885474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   31818)
Enumeration Date2019-08-05
Last Update Date2019-08-05
Business Address
MIGUEL BAUTISTA CADC
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 773-268-7600
Mailing Address
MIGUEL BAUTISTA CADC
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number:
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