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Carlos G. Bautista SR.
Driver in Melrose Park, Illinois
NPI 1336792845

Carlos G. Bautista SR. is a Driver based in Melrose Park, IL. Carlos G. Bautista SR. practices in Melrose Park, IL. The NPI Number for Carlos G. Bautista SR. is 1336792845 and holds a License No. (Illinois).

The current practice location address for Carlos G. Bautista SR. is 1643 N 20Th Ave, Melrose Park, IL and can be reached out via phone at 872-239-0010 and via fax at 844-803-7433.

Location: 1643 N 20Th Ave, Melrose Park, IL, 60160-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336792845
Provider Name
Carlos G. Bautista SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1643 N 20Th Ave, Melrose Park, IL, 60160-1903
Phone Number
872-239-0010
Fax Number
844-803-7433
Provider Enumeration Date
07/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1643 N 20Th Ave
City
Melrose Park
State
Illinois
Zip
60160-1903
Phone Number
872-239-0010
Fax Number
844-803-7433
person
Provider Business Mailing Address Details
Address
1643 N 20Th Ave
City
Melrose Park
State
Illinois
Zip
60160-1903
Phone Number
872-239-0010
Fax Number
844-803-7433
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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