Bautista, Eleanor Viray
Bautista, Eleanor Viray is an individual health care provider with primary practice located at 1050 Essington Rd Ste C , Joliet IL 60435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bautista, Eleanor Viray can be contacted via phone (815) 514-2425.Contact Information
Primary practice address
1050 Essington Rd Ste C
Joliet IL 60435
Phone: (815) 514-2425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036093764 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0073938 | Florida |
Profile Details
| NPI number | 1780669804 |
|---|---|
| LBN Legal business name | Bautista, Eleanor Viray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Aug 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780669804 | NPPES |
| Illinois | Other | 834330 | MEDICARE GROUP # |
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