Individual
GLENN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
804 E WOODFIELD RD, SCHAUMBURG, IL 60173-4776
(847) 605-0030
(847) 637-0737
Mailing address
1585 BARRINGTON RD STE 501, HOFFMAN ESTATES, IL 60169-5020
(847) 490-8900
(847) 490-8999
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209028005
IL
Other
Enumeration date
08/10/2023
Last updated
03/21/2024
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