Bautista, Jacqueline Ann

Bautista, Jacqueline Ann is an sole proprietor health care provider with primary practice located at 200 N Berteau Ave , Elmhurst IL 60126-2966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bautista, Jacqueline Ann can be contacted via phone (630) 833-1400.

Contact Information

Primary practice address
200 N Berteau Ave Elmhurst IL 60126-2966
Phone: (630) 833-1400
Fax: (630) 941-4597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 018206 Illinois

Profile Details

NPI number 1205043015
LBN Legal business name Bautista, Jacqueline Ann
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

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.

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