Individual
DR. COSHUN BASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3610 W. 212TH PLACE, MATTESON, IL 60443
(708) 466-5535
Mailing address
3610 W. 212TH PLACE, MATTESON, IL 60443
(708) 466-5535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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