Individual
VENUS LIEZL BASNILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5425 W BELMONT AVE, CHICAGO, IL 60641-4127
(312) 702-1313
(844) 269-6602
Mailing address
5425 W BELMONT AVE, CHICAGO, IL 60641-4127
(312) 702-1313
(844) 269-6602
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209015653
IL
Other
Enumeration date
02/22/2017
Last updated
07/16/2025
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