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Contact Information

HEATHER BAUTISTA, LDN, N.D., CNS
1200 S YORK ST
SUITE 1132
ELMHURST, IL60126-5626
 Phone: 331-221-6135
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for HEATHER BAUTISTA · (Female)

NPI # 1265982003
Status Active
Credentials LDN, N.D., CNS
Entity Individual
Enumeration date 10/05/2016
Last updated 10/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 164.006893
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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