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1588937767
ERIN KRISTINA BASALAY
CHICAGO, IL
NPI
1588937767
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Former Name
ERIN POWERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: IL 071008280)
Enumeration Date
2012-02-17
Last Update Date
2012-02-17
Business Address
Dr. ERIN KRISTINA BASALAY Psy.D.
5730 W ROOSEVELT RD
CHICAGO, IL 60644-1580
Phone number: 773-921-1700
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Mailing Address
Dr. ERIN KRISTINA BASALAY Psy.D.
1723 S 5TH PL
ST CHARLES, IL 60174-4324
Phone number: 847-529-6421
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