Provider Demographics
NPI:1245434851
Name:BATISTE, ROSEMARIE (APN)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:
Last Name:BATISTE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SPALDING DR STE 111
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6766
Mailing Address - Country:US
Mailing Address - Phone:630-646-2273
Mailing Address - Fax:630-646-6071
Practice Address - Street 1:120 SPALDING DR
Practice Address - Street 2:STE 111
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6766
Practice Address - Country:US
Practice Address - Phone:630-646-2273
Practice Address - Fax:630-646-6071
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209004602364SX0200X
IL209009541363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00600864Medicaid
ILP00600864Medicaid
ILK46381Medicare PIN
ILK46380Medicare PIN