Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Bautista, DO

Individual provider Family Medicine Physician · NPI 1619727013

Brandon Bautista, DO is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4600 N Ravenswood Ave
Chicago, IL 60640-4510
Phone: (773) 561-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.083873 (IL)

Record details

NPI number1619727013
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address39w910 Old Burlington Rd, Saint Charles, IL 60175-8533

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