MRS. Heather Bautista, LDN, N.D., CNS

NPI #1265982003 in Elmhurst, Illinois

Provider Information

NPI Number: 1265982003
Entity Type: Individual
Name: MRS. Heather Bautista, LDN, N.D., CNS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: LDN, N.D., CNS
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 1200 S YORK ST
Address 2: SUITE 1132
City: Elmhurst
State: Illinois
ZIP Code: 60126-5626
Phone: (331) 221-6135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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