Individual
ERLEINE BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3450 S ARCHER AVE, CHICAGO, IL 60608-6837
(773) 523-1000
Mailing address
600 W FULTON ST, SUITE 200, CHICAGO, IL 60661-1259
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
336.095771
IL
Other
Enumeration date
10/29/2007
Last updated
11/10/2020
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