Individual
JAMIE ELIZABETH BASTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(224) 299-4222
Mailing address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(224) 299-4222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028257
IL
Other
Enumeration date
10/10/2023
Last updated
01/08/2024
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