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

Carlos G. Bautista Sr.

Individual provider Driver · NPI 1336792845

Carlos G. Bautista Sr. is a Driver in Melrose Park, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1643 N 20th Ave
Melrose Park, IL 60160-1903
Phone: (872) 239-0010
Fax: (844) 803-7433
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1336792845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 23, 2019
Last updated in NPPESJuly 23, 2019