MEDICARE: MRS. TATIANA A BATISTA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036113050	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036113050	OTHER	IL	IL LICENSE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972612760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TATIANA A BATISTA DO

Provider Business Mailing Address
First Line	:	1656 N WELLS
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614
Country	:	US
Telephone Number	:	312-643-1333
Fax Number	:

Provider Business Practice Location Address
First Line	:	5346 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2120
Country	:	US
Telephone Number	:	773-293-8880
Fax Number	:	773-293-8843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	05/19/2025

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