Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Bastillo

Individual provider Speech-Language Pathologist · NPI 1821467408

Mitchell Bastillo is a Speech-Language Pathologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-6323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242003765 (IL)

Record details

NPI number1821467408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022
Mailing address225 E Chicago Ave, Chicago, IL 60611-2991

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