Organization
QUALSIGHT LLC
Active
Other names
QualSight
Organization subpart
No
Provider details
NPI number
Authorized official
LINCK BASCOMB MANAGEMENT (PRESIDENT)
(773) 350-3357
Entity
Organization
Contact information
Practice address
9525 BRYN MAWR AVE STE 725, ROSEMONT, IL 60018-5262
(773) 350-3357
(773) 632-4132
Mailing address
9525 BRYN MAWR AVE STE 725, ROSEMONT, IL 60018-5262
(773) 350-3357
(773) 632-4132
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B25143270224
ID
IL
Enumeration date
02/23/2019
Last updated
02/23/2019
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