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1740063312
CORNIE BAUTISTA
CHICAGO, IL
NPI
1740063312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209027627)
Enumeration Date
2023-08-16
Last Update Date
2023-08-16
Business Address
CORNIE BAUTISTA APRN
1 E ERIE ST STE 640
CHICAGO, IL 60611-4756
Phone number: 872-337-8500
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Mailing Address
CORNIE BAUTISTA APRN
2502 FREMONT ST
ROLLING MEADOWS, IL 60008-1532
Phone number: 224-830-6695
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