Basak, Cassandra

Basak, Cassandra is an sole proprietor health care provider with primary practice located at 2202 Essington Rd Ste 101 , Joliet IL 60435-1604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Basak, Cassandra can be contacted via phone (815) 676-5310.

Contact Information

Primary practice address
2202 Essington Rd Ste 101 Joliet IL 60435-1604
Phone: (815) 676-5310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1841764131
LBN Legal business name Basak, Cassandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2019
Last updated Apr 8th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841764131 NPPES
Illinois MEDICAID 085007029

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