Individual
MRS. KAREN LYNN BASSIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 EAGLE DR, BELLEVILLE, IL 62221-4403
(618) 632-6016
Mailing address
16 EAGLE DR, BELLEVILLE, IL 62221-4403
(618) 632-6016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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