Individual
BASHA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2416 E WASHINGTON ST STE C5, BLOOMINGTON, IL 61704-1629
(913) 730-5925
(202) 931-7876
Mailing address
207 IMPERIAL DR, BLOOMINGTON, IL 61701-2029
(309) 830-5925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5732059
BLUE CROSS
IL
Enumeration date
07/30/2006
Last updated
08/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us