Organization
MARIA RIZA BAUTISTA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA RIZA BAUTISTA MD (PHYSICIAN)
(773) 487-5224
Entity
Organization
Contact information
Practice address
326 W 64TH ST, SUITE # 302, CHICAGO, IL 60621-3114
(773) 487-5224
Mailing address
326 W 64TH ST, SUITE # 302, CHICAGO, IL 60621-3114
(773) 487-5224
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
12/17/2007
Last updated
03/27/2008
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