Individual
MS. DEIDRE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1775 W DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-9557
Mailing address
1675 W DEMPSTER ST, PARK RIDGE, IL 60068-1110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.057667
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2010
Last updated
12/15/2021
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