Search › Illinois › 103K00000X
Heavenly Baca
NPI 1356164065 · on the registry since 2024
Practice
- Address
- 15 Crystal Lake Rd
Lake In The Hills, IL 60156 - Phone
- (773) 644-7787
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-02
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