Organization
DR BILL BAUTISTA LCSW LLC
Active
Other names
Dr Bill Bautista & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BAUTISTA DSW, LCSW (OWNER / PSYCHOTHERAPIST)
(847) 946-2958
Entity
Organization
Contact information
Practice address
2205 POINT BLVD STE 210, ELGIN, IL 60123-7840
(847) 946-2958
Mailing address
2205 POINT BLVD STE 210, ELGIN, IL 60123-7840
(847) 946-2958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149015794
LCSW
IL
Enumeration date
11/14/2022
Last updated
11/14/2022
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