MITCHELL BASTILLO

CHICAGO, IL
NPI1821467408
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242003765)
Enumeration Date2015-09-24
Last Update Date2022-02-11
Business Address
MITCHELL BASTILLO
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-6323
Mailing Address
MITCHELL BASTILLO
225 E CHICAGO AVE
CHICAGO, IL 60611-2991
Phone number: 312-227-6323
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