Individual provider · Type 1 NPI
Carlos G. Bautista Sr.
Driver · Melrose Park, IL
NPI number
1336792845
Active
Practice location
1643 N 20th Ave
Melrose Park, IL 60160-1903
Fax (844) 803-7433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
About NPI 1336792845
Carlos G. Bautista Sr.'s National Provider Identifier is 1336792845, issued on Jul 23, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Melrose Park, IL. The record was last updated on Jul 23, 2019.