Individual
MOLLY BASTIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCC-A
Contact information
Practice address
15009 CATLIN TILTON RD, DANVILLE, IL 61833-4776
(217) 443-8273
Mailing address
15009 CATLIN TILTON RD, DANVILLE, IL 61833-4776
(217) 443-8273
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.002055
IL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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