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BRANDON BAUTISTA DO
NPI 1619727013
Family Medicine in Chicago, IL

Active since March 26, 2024
4600 N RAVENSWOOD AVE, CHICAGO, IL 60640(773) 561-7500 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Apr 5, 2024 (2 updates tracked since 2024).

About Brandon Bautista Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON BAUTISTA DO (NPI 1619727013) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (125.083873) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1619727013
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDON BAUTISTACredential: DO
Location Address4600 N RAVENSWOOD AVEChicago, IL 60640-4510
Mailing Address39w910 Old Burlington RdSaint Charles, IL 60175-8533 · (630) 423-2006
Phone(773) 561-7500
Sole ProprietorNo
Enumeration DateMarch 26, 2024
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1619727013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.083873
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 N RAVENSWOOD AVE, Chicago, IL 60640
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERI LEAH FAIR M.D., PH.D.
Family Medicine
4600 N RAVENSWOOD AVE, 2ND FLOOR
CHICAGO, IL 60640
Cook County (773) 561-7500
DR. DAVID EUGENE KLEIN DO
Psychiatry & Neurology (Neurology)
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
MEAGAN ROSE MCCORMICK DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
POOJA KANTHAWAR MD
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
MARIELA CANO M.D.
Family Medicine
4600 N RAVENSWOOD AVE, 2ND FLR
CHICAGO, IL 60640
Cook County (773) 561-7500
HEMISHA SANGANI DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
FARANAK NAJIBI M.D
Psychiatry & Neurology (Neurology)
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500
KIMBERLY ROWGHANI DO
Family Medicine
4600 N RAVENSWOOD AVE
CHICAGO, IL 60640
Cook County (773) 561-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Bautista's NPI number?

The NPI number for Brandon Bautista is 1619727013. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Brandon Bautista located?

Brandon Bautista practices at 4600 N Ravenswood Ave, Chicago, IL 60640. The listed phone number is (773) 561-7500.

What is Brandon Bautista's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brandon Bautista was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.