Dr. Edwin Bautista Pascual
M.D. | Pediatrics | Male
Dr. Edwin Bautista Pascual, M.D. is a Cicero, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Edwin Bautista Pascual is
4941 W 14th St, Cicero, Illinois - 60804-1419. He can be contacted on phone at
708-780-7400 and fax number 708-780-7423.
Dr. Edwin Bautista Pascual is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Edwin Bautista Pascual is
1326159104 which was assigned by NPPES on 31 Aug, 2006 and it was last updated on 02 Nov, 2011.
Dr. Edwin Bautista Pascual license number is
036067770 for Pediatrics (208000000X) in Illinois.
Dr. Edwin Bautista Pascual is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Edwin Bautista Pascual basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Edwin Bautista Pascual |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Edwin Bautista Pascual address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4941 W 14th St
Cicero, IL, 60804-1419
United States |
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| Phone Number : | 708-780-7400 |
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| Fax Number : | 708-780-7423 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1326159104 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Aug, 2006 |
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| Last Updated On : | 02 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edwin Bautista Pascual are as mentioned. Primary taxonomy code for Dr. Edwin Bautista Pascual, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036067770 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Edwin Bautista Pascual such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036067770 | MEDICAID | IL | |
| 0031601680 | Other | IL | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1651 N Normandy Ave
Chicago, IL, 60707-3923
United States |
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| Phone Number : | 708-780-7400 |
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| Fax Number : | 708-780-7423 |
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Business Location:
Patients can refer following map for directions to
Dr. Edwin Bautista Pascual practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.