Individual
SHANNON BASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W 5TH AVE STE 106F, NAPERVILLE, IL 60563-4930
(630) 484-3821
Mailing address
800 W 5TH AVE STE 106F, NAPERVILLE, IL 60563-4930
(630) 484-3821
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227018818
IL
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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