Search › Illinois › 1041C0700X
Maryam Basmenji, LCSW
NPI 1679700025 · on the registry since 2009 · sole proprietor
Practice
- Address
- 10 E Ontario St
2008
Chicago, IL 60611 - Phone
- (801) 580-9673
- Organisation at this address
- River North Nutrition Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois