Individual
ZAHARA BASSETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5463 W CHICAGO AVE, CHICAGO, IL 60651-2858
(312) 796-6020
Mailing address
5463 W CHICAGO AVE, CHICAGO, IL 60651-2858
(312) 796-6020
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IL
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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