Batista, Josefina

Batista, Josefina is an individual health care provider with primary practice located at 375 N Wall St Ste P310 , Kankakee IL 60901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Batista, Josefina can be contacted via phone (815) 933-0194.

Contact Information

Primary practice address
375 N Wall St Ste P310 Kankakee IL 60901
Phone: (815) 933-0194
Fax: (815) 936-3847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036144838 Illinois

Profile Details

NPI number 1316388796
LBN Legal business name Batista, Josefina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2013
Last updated Mar 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316388796 NPPES
Illinois MEDICAID 036144838

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