Individual
DANIELLE BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
611 W JEFFERSON ST, SHOREWOOD, IL 60404-3772
(815) 729-1144
(815) 729-2587
Mailing address
711 LISDOWNEY DR, LOCKPORT, IL 60441-2792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.135644
IL
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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