Individual
NANCY BASUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9273 FAIRWAY DR APT 412, DES PLAINES, IL 60016-1722
(773) 577-3153
Mailing address
9273 FAIRWAY DR. 412, DES PLAINES, IL 60014
(773) 577-3153
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
B240-6257-5962
IL
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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