MIGUEL BAUTISTA CADC NPI 1245885474

NPI Information

NPI: 1245885474
Provider Name: MIGUEL BAUTISTA, CADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653
Phone: (773) 268-7600
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Miguel Bautista, CADC is an addiction (substance use disorder) counselor in Chicago, IL. Miguel Bautista, CADC NPI is 1245885474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653-030
Phone: (773) 268-7600

The enumeration date for this NPI number is 8/5/2019 and was last updated on 8/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	31818		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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