| NPI | 1326434754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BASSELL Owner 312-226-0472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IL 309.008041) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-16 |