Heather Bautista, LDN, N.D., CNS
Nutritionist in Elmhurst, IL. Individual provider (NPI-1).
NPI number1265982003
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1265982003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Bautista
- Credential
- LDN, N.D., CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2016
- Last updated
- Oct 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | 164.006893 | IL | Yes |
Practice location
1200 S York StSuite 1132
Elmhurst, IL 60126-5626
Phone 331-221-6135
Mailing address
1200 S York StSuite 1132
Elmhurst, IL 60126-5626
Phone 331-221-6135
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