Individual
BAILEY SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
149017373
IL
1041C0700X
Clinical Social Worker
Primary
149017373
IL
Other
Enumeration date
11/05/2009
Last updated
02/16/2022
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