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Individual

ELIZABETH BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 383-9300
Mailing address
1735 W DIVERSEY PKWY APT 208, CHICAGO, IL 60614-1077

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.012170
IL

Other

Enumeration date
11/18/2014
Last updated
11/18/2014
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