Individual
MELISSA BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE
Contact information
Practice address
155 N MICHIGAN AVE STE 201, CHICAGO, IL 60601-7940
(312) 722-6656
(312) 292-1189
Mailing address
5235 S LAWNDALE AVE, CHICAGO, IL 60632-3734
(773) 297-0851
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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