Bass, Deidre

Bass, Deidre is an individual health care provider with primary practice located at 1775 W Dempster St , Park Ridge IL 60068-1143. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Bass, Deidre can be contacted via phone (847) 723-9557.

Contact Information

Primary practice address
1775 W Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-9557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125.057667 Illinois

Profile Details

NPI number 1487973582
LBN Legal business name Bass, Deidre
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2010
Last updated Dec 15th, 2021 - about 3 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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