Bautista, Carlos G.

Bautista, Carlos G. is an individual health care provider with primary practice located at 1643 N 20Th Ave , Melrose Park IL 60160-1903. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Bautista, Carlos G. can be contacted via phone (872) 239-0010.

Contact Information

Primary practice address
1643 N 20Th Ave Melrose Park IL 60160-1903
Phone: (872) 239-0010
Fax: (844) 803-7433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1336792845
LBN Legal business name Bautista, Carlos G.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2019
Last updated Jul 23rd, 2019 - about 7 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.

Request for update

Popular Providers