Individual
MICHAEL BAUTISTA NAVARRO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
600 N MCCLURG CT APT 3502, CHICAGO, IL 60611-4846
(785) 220-2795
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/22/2024
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