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Carlos Bautista — NPI 1336792845, Melrose Park, IL | NPI Central

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NPI 1336792845

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Carlos Bautista

NPI 1336792845 · Driver · Melrose Park, IL

Provider details

NPI number: 1336792845
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

DriverPrimary172A00000X
Other Service Providers

Practice location

1643 N 20th Ave

Melrose Park, IL 60160-1903

Phone: (872) 239-0010

Fax: (844) 803-7433

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

1643 N 20th Ave

Melrose Park, IL 60160-1903

Registry dates

Enumerated: 2019-07-23
Last updated: 2019-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.