Active NPI
Bassell Nurse Practitioner Services, LLC
- Licensed Practical Nurse
- Chicago, IL
National Provider Identifier
1326434754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 309.008041
- Legal business name
- BASSELL NURSE PRACTITIONER SERVICES, LLC
- Practice address
- 5061 N Pulaski Rd
Chicago, IL 60630-2706 - Phone
- (773) 604-4217
- NPI assigned
- Apr 13, 2015
- Last updated
- Apr 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Bassell
- Title
- Owner
- Phone
- (312) 226-0472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 309.008041 | IL | Primary |
Addresses
Primary practice location
5061 N Pulaski Rd
Chicago, IL 60630-2706
Mailing address
1070 W 15TH St
Chicago, IL 60608-1869
Phone (312) 226-0472
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429142400000",
"number": "1326434754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 W 15TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081869",
"telephone_number": "312-226-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5061 N PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302706",
"telephone_number": "773-604-4217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASSELL NURSE PRACTITIONER SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-13",
"last_updated": "2015-04-16",
"status": "A",
"authorized_official_last_name": "BASSELL",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-226-0472"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "IL",
"license": "309.008041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.