Individual
MS. GAURI S BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/L
Contact information
Practice address
1936 BROOKDALE RD, NAPERVILLE, IL 60563-2015
(630) 548-4604
Mailing address
719 WOODEWIND DR, NAPERVILLE, IL 60563-4046
(630) 548-3115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146006642
ILLINOIS LICENSE NUMBER
IL
Enumeration date
04/30/2008
Last updated
12/14/2016
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