Maria Riza Bautista MD Sc

NPI #1013190727 in Chicago, Illinois

Provider Information

NPI Number: 1013190727
Entity Type: Organization
Organization Name: Maria Riza Bautista MD Sc
Primary Specialty: Clinic/Center
Enumeration Date: Dec 17, 2007
Last Updated: Mar 27, 2008

Practice Location

Address: 326 W 64TH ST
Address 2: SUITE # 302
City: Chicago
State: Illinois
ZIP Code: 60621-3114
Phone: (773) 487-5224

Authorized Official

Name: DR. MARIA RIZA BAUTISTA, MD
Title: PHYSICIAN
Phone: (773) 487-5224

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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