Individual provider · Type 1 NPI

Bailey M. Stultz

Peer Specialist · Merrionette Park, IL

NPI number 1952205973 Active

Practice location

11150 S Kedzie Ave
Merrionette Park, IL 60655-2759

Mailing address

2704 Duluth St
Highland, IN 46322-1041

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1952205973

Bailey M. Stultz's National Provider Identifier is 1952205973, issued on Oct 5, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Merrionette Park, IL. The record was last updated on Oct 5, 2026.