Individual
ABIGAIL BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
Mailing address
30 N MICHIGAN AVE STE 424, CHICAGO, IL 60602-3844
(312) 279-9981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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