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General NPI Number Information
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NPI Number | 1316388796
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Entity Type | Individual
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Provider Name | JOSEFINA BATISTA MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2850 W 95TH ST STE 400
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City | EVERGREEN PARK
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State | IL
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Zip | 60805-2755
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Country | US
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Telephone | 708-424-7600
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Fax | 708-424-7605
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Provider Business Mailing Address
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Address Line | 465 N PARK DR APT 3904
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City | CHICAGO
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State | IL
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Zip | 60611-0014
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Country | US
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Telephone | 352-804-2692
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036144838
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License Number State | IL
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