Individual
MRS. MARIA G BAYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2795
(708) 229-4714
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2795
(708) 229-4714
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-001111
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-001111
STATE LISCENCE
IL
Enumeration date
01/16/2009
Last updated
08/29/2019
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