Most Relevant Information
Provider Data
| NPI Number: | 1003323254 |
| Provider Name: | GAY BAUTISTA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209016649 |
Most Important Dates
| Enumeration Date: | 01/09/2018 |
| Last Updated: | 04/06/2018 |
Provider Practice Location
921 N PLUM GROVE RD
SCHAUMBURG
IL
601734761
Practice Location Phone/Fax
| Phone: | 8473593400 |
| Fax: | 8473582770 |
Provider Mailing Location
921 N PLUM GROVE RD
SCHAUMBURG
IL
601734761
Provider Mailing Phone/Fax
| Phone: | 8473593400 |
| Fax: |