MARIA RIZA BAUTISTA MD SC NPI 1013190727

NPI Information

MARIA RIZA BAUTISTA MD SC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARIA RIZA BAUTISTA MD SC NPI is 1013190727. The provider is registered as an organization entity type.

The provider's business location address is:

326 W 64TH ST
SUITE # 302
CHICAGO, IL
ZIP 60621-114
Phone: (773) 487-5224

The provider's authorized official is Maria Riza Bautista .
The authorized official title is Physician and has the following contact phone number (773) 487-5224.

The enumeration date for this NPI number is 12/17/2007 and was last updated on 3/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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