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Dr. Maria Riza De Guzman Bautista, MD

Family Medicine in Chicago, IL. Individual provider (NPI-1).

NPI number1154400513
StatusActive
Last updated in NPPESDec 14, 2021

Details

NPI
1154400513
Entity type
Individual (NPI-1)
Name
Dr. Maria Riza De Guzman Bautista
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 4, 2006
Certification date
Dec 14, 2021
Last updated
Dec 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036113909ILYes

Practice location

6307 S Stewart Ave Ste 202
Chicago, IL 60621-3116

Phone 773-487-5224 · Fax 773-487-7240

Mailing address

6249 N Keeler Ave
Chicago, IL 60646-5109

Phone 773-875-7396

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