Organization · Type 2 NPI

Maria Riza Bautista MD SC

Clinic/Center · Chicago, IL

NPI number 1013190727 Active

Practice location

326 W 64th St, Suite # 302
Chicago, IL 60621-3114

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1013190727

Maria Riza Bautista MD SC's National Provider Identifier is 1013190727, issued on Dec 17, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 27, 2008.