Carlos Bautista
NPI 1336792845 · on the registry since 2019
Practice
- Address
- 1643 N 20th Ave
Melrose Park, IL 60160 - Phone
- (872) 239-0010
- Fax
- (844) 803-7433
- Organisation at this address
- Bestride Transportation Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Driver
172A00000X
- Sex
- Male
- Record last updated
- 2019-07-23
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