Individual
JOCELYN E BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2410 SAMPSON ST, BLDG. 237, GREAT LAKES, IL 60088-2942
(847) 688-5317
(847) 688-2293
Mailing address
3111 56TH AVE, UNIT 206, KENOSHA, WI 53144-4915
(262) 657-7421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.0009815
IL
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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