Individual
MRS. ALYSON BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RID CI,CT
Contact information
Practice address
5938 SNELL RD, AUBURN, IL 62615-9254
(217) 416-2099
Mailing address
5938 SNELL RD, AUBURN, IL 62615-9254
(217) 416-2099
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
IL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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