Basnillo- San Diego, Venus Liezl

Basnillo- San Diego, Venus Liezl is an sole proprietor health care provider with primary practice located at 1628 N Bell Ave Apt 1, Chicago IL 60647-5289. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Basnillo- San Diego, Venus Liezl can be contacted via phone (773) 600-1309.

Contact Information

Primary practice address
1628 N Bell Ave Apt 1 Chicago IL 60647-5289
Phone: (773) 600-1309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209015653 Illinois

Profile Details

NPI number 1265971204
LBN Legal business name Basnillo- San Diego, Venus Liezl
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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