Individual
DR. ABDUL BASIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D
Contact information
Practice address
15020 RAVINIA AVE, SUITE 29, ORLAND PARK, IL 60462
(708) 873-9059
(708) 428-4504
Mailing address
200 ORIOLE ROAD, MATTESON, IL 60443
(708) 873-9059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005712
IL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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