Jacqueline Bautista

NPI 1831948900 · on the registry since 2024 · sole proprietor

Practice

Address: 414 Plaza Dr Ste 301
Westmont, IL 60559
Phone: (630) 728-1744
Organisation at this address: Grace Integrated Pllc
Grace Integrated, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 60

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-04-15

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