Bassell Nurse Practitioner Services, LLC

Organization Active NPI Licensed Practical Nurse · Chicago, IL

NPI 1326434754 · NPPES record last updated Apr 16, 2015

Key facts

NPI
1326434754
Entity type
Organization (NPI type 2)
Primary specialty
Licensed Practical Nurse 164W00000X
License
309.008041 (IL)
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
Organization subpart
No

Authorized official

Name
Leslie Bassell
Title
Owner
Phone
(312) 226-0472

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
164W00000X 309.008041 IL Yes

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

Other providers in Chicago, IL

All providers in Chicago, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.