Search › Illinois › 363LF0000X
Evalynne Basso
NPI 1720759830 · on the registry since 2021
Practice
- Address
- 601 E Tripp Ave
Peoria, IL 61603 - Phone
- (309) 472-4643
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-28
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