Individual
DR. WILLIAM C BASELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7222 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1422
(708) 447-1497
Mailing address
10908 BETH DR, ORLAND PARK, IL 60467-9362
(708) 990-0869
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011579
IL
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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