Individual provider · Type 1 NPI
Kristine L. Bautista
Family Nurse Practitioner · Chicago, IL
NPI number
1689220261
Active
Practice location
5815 S Maryland Ave # A621
Chicago, IL 60637-1463
Mailing address
5700 S Maryland Ave
Chicago, IL 60637-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.019797 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689220261
Kristine L. Bautista's National Provider Identifier is 1689220261, issued on Aug 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Dec 18, 2023.