Individual
MRS. LAURIE IRENE BASKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
(630) 766-6465
Mailing address
2171 W EXECUTIVE DR STE 500, ADDISON, IL 60101-5626
(630) 766-0505
(630) 766-6465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008213
IL
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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