Individual
DR. BASMAN SWEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
6502 JOLIET RD FL 2, COUNTRYSIDE, IL 60525
(708) 215-8400
(708) 215-8410
Mailing address
6502 JOLIET RD FL 2, COUNTRYSIDE, IL 60525-4613
(708) 215-8400
(708) 215-8410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004208
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071-004208
STATE LICENSE NUMBER
IL
Enumeration date
12/11/2006
Last updated
08/30/2018
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