SearchIllinois363LF0000X

Glenn Bautista, APN

NPI 1164105664 · on the registry since 2023 · sole proprietor

Practice

Address
804 E Woodfield Rd
Schaumburg, IL 60173
Phone
(847) 605-0030
Fax
(847) 637-0737
Clinicians at this address
30

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois