IndividualActive
Eleanor Bautista, M.D.
NPI 1780669804 · Internal Medicine Physician · Joliet, IL
Provider details
- NPI number
- 1780669804
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036093764 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1050 Essington Rd Ste C
Joliet, IL 60435
Phone: (815) 514-2425
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 713260
Chicago, IL 60677-1260
Registry dates
- Enumerated
- 2005-12-12
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.