Bautista, Christian
Bautista, Christian is an individual health care provider with primary practice located at 155 E Brush Hill Rd , Elmhurst IL 60126-5658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bautista, Christian can be contacted via phone (331) 221-1000.Contact Information
Primary practice address
155 E Brush Hill Rd
Elmhurst IL 60126-5658
Phone: (331) 221-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036093126 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036093126 | Illinois |
Profile Details
| NPI number | 1669401113 |
|---|---|
| LBN Legal business name | Bautista, Christian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 20th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669401113 | NPPES |
| Illinois | Other | 036093126 | STATE LICENSE |
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