Individual
AZADEH BASSIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 PARKVIEW BLVD, LOMBARD, IL 60148-3230
(630) 206-9252
Mailing address
1056 BEDFORD DR, CAROL STREAM, IL 60188-3920
(630) 885-9222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
08/16/2024
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