Basov, Anna R

Basov, Anna R is an sole proprietor health care provider with primary practice located at 601 Skokie Blvd Suite #Ll-5D, Northbrook IL 60062-2851. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Basov, Anna R can be contacted via phone (847) 607-1589.

Contact Information

Primary practice address
601 Skokie Blvd Suite #Ll-5D Northbrook IL 60062-2851
Phone: (847) 607-1589
Fax: (847) 881-0839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009063 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.007955 Illinois
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071009153 Illinois

Profile Details

NPI number 1487901609
LBN Legal business name Basov, Anna R
Credentials PSYD, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2012
Last updated Oct 28th, 2015 - about 10 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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