Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLOS G. BAUTISTA SR.
ActiveCARLOS G. BAUTISTA SR. is a Driver healthcare provider located in MELROSE PARK, Illinois. NPI 1336792845 is currently active in the NPPES registry. Verify at CMS.
Driver · MELROSE PARK, IL
Registration Details
- NPI Number
- 1336792845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2019 (7.0327658188149 yrs)
- Last Updated
- Jul 23, 2019
Practice Information
- Address
-
1643 N 20TH AVEMELROSE PARK, IL, 601601903Browse IL providers · Browse ZIP 60160
- Phone
- 8722390010
- Fax
- 8448037433
- Primary Specialty
-
Driver
172A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.