Individual
KATHRYN BASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
18018 W KEWAUNEE DR, GRAYSLAKE, IL 60030-2822
(773) 206-1777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003238
IL
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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