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Organization
BASE10 GENETICS, LLC
Active
Organization
BASE10 GENETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE ANTOINETTE FETZER (VICE PRESIDENT STRATEGIC OPERATIONS)
(215) 327-7222
Entity
Organization
Contact information
Practice address
70 E LAKE ST STE 226, CHICAGO, IL 60601-7650
(866) 710-1018
Mailing address
70 E LAKE ST STE 226, CHICAGO, IL 60601-7650
(866) 710-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
08/10/2021
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