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1033189659
MICHAEL J BAUTISTA
PALOS HEIGHTS, IL
NPI
1033189659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 036084632)
Enumeration Date
2006-01-25
Last Update Date
2007-07-09
Business Address
-- MICHAEL J BAUTISTA M.D.
12251 S 80TH AVE PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463-1256
Phone number: 708-923-5700
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Mailing Address
-- MICHAEL J BAUTISTA M.D.
PO BOX 239D
PARK RIDGE, IL 60068-8018
Phone number: 847-759-1560
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