Individual
JAN BASSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1351 W ALTGELD ST APT 2F, CHICAGO, IL 60614-1962
(312) 933-8213
Mailing address
1351 W ALTGELD ST APT 2F, CHICAGO, IL 60614-1962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289231
IL
Other
Enumeration date
02/28/2026
Last updated
02/28/2026
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