1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

MIGUEL BAUTISTA CADC
NPI 1245885474
Counselor - Addiction (Substance Use Disorder) in Chicago, IL

Active since August 05, 2019
4259 S BERKELEY AVE, CHICAGO, IL 60653(773) 268-7600 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miguel Bautista Cadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL BAUTISTA CADC (NPI 1245885474) is an individual addiction (substance use disorder) provider in Chicago, Illinois, licensed in (31818) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1245885474
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMIGUEL BAUTISTACredential: CADC
Location Address4259 S BERKELEY AVEChicago, IL 60653-3030
Mailing Address4259 S Berkeley AveChicago, IL 60653-3030
Phone(773) 268-7600
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1245885474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed · 31818
4259 S BERKELEY AVE, Chicago, IL 60653
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADEWALE OLAILAN LAWAL DMD
Dentist (General Practice)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (312) 646-6620
NEAR NORTH HEALTH SERVICE CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
JENNY HYE JIN CHA-KIM M.D.
Pediatrics
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
DR. GREGORY C. VACHON M.D.
Internal Medicine
4259 S BERKELEY AVE, KOMED HEALTH CENTER
CHICAGO, IL 60653
Cook County (312) 285-7678
SAMANTHA KUFTA D.M.D
Dentist (Dental Public Health)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (630) 965-7306
MRS. MARY CAITLIN GONDEK APN
Nurse Practitioner (Family)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
KAYLA MARCHELLE JONES APN
Nurse Practitioner (Family)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600
MS. GLENDA D ODEN RD, CDE, LDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
4259 S BERKELEY AVE
CHICAGO, IL 60653
Cook County (773) 268-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miguel Bautista's NPI number?

The NPI number for Miguel Bautista is 1245885474. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Miguel Bautista located?

Miguel Bautista practices at 4259 S Berkeley Ave, Chicago, IL 60653. The listed phone number is (773) 268-7600.

What is Miguel Bautista's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Miguel Bautista was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.