Kathleen Bautista, LCSW

NPI 1063836104 · on the registry since 2014 · sole proprietor

Practice

Address: 100 Stahlhut Dr
Lincoln, IL 62656
Phone: (217) 735-9555
Organisation at this address: Springfield Clinic, Llp
Lincoln Health Care Specialists Lab
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Additional practice sites

520 N 4th St, Springfield, IL
319 E Madison St, Springfield, IL

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois