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Individual

MR. DENNIS LIM BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
5342 W PATTERSON AVE, CHICAGO, IL 60641-3346
(219) 448-2482

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008257
IL

Other

Enumeration date
05/18/2007
Last updated
09/07/2023
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