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Individual

MRS. GLORIA JEAN BASHIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
3714 RIVER RD, HAZEL CREST, IL 60429-2452
(708) 533-9379
Mailing address
3714 RIVER RD, HAZEL CREST, IL 60429-2452
(708) 533-9379

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149027374
IL
171100000X
Acupuncturist
Primary
198.000936
IL

Other

Enumeration date
08/16/2013
Last updated
06/13/2025
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