Felicia Baston

NPI 1740740174 · on the registry since 2019

Practice

Address: 1902 W Cermak Rd
Chicago, IL 60608
Phone: (773) 596-9045
Organisation at this address: Icare Optical, Llc
Advanced Wellness Institute
National Youth Advocate Program, Inc
National Youth Advocate Program, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-03-21

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