Bassell, Leslie

Bassell, Leslie is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bassell, Leslie can be contacted via phone (312) 836-3720.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (312) 836-3720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209012147 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209012147 Illinois

Profile Details

NPI number 1578960084
LBN Legal business name Bassell, Leslie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2014
Last updated Dec 13th, 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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