Mercedes Baca, DT
Developmental Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1154039741
StatusActive
Last updated in NPPESNov 11, 2022
Details
- NPI
- 1154039741
- Entity type
- Individual (NPI-1)
- Name
- Mercedes Baca
- Credential
- DT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2022
- Certification date
- Nov 11, 2022
- Last updated
- Nov 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | – | Yes |
Practice location
1014 S Oakley BlvdChicago, IL 60612-4313
Phone 312-375-4151
Mailing address
1014 S Oakley BlvdChicago, IL 60612-4313
Phone 312-375-4151
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