Individual
RICHARD P BASGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
265 SUNSET LN, ANTIOCH, IL 60002-1665
(224) 305-2950
Mailing address
265 SUNSET LN, ANTIOCH, IL 60002-1665
(224) 305-2950
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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