Maryann Basista, LCSW

NPI 1902914476 · on the registry since 2006 · sole proprietor

Practice

Address: 1315 Butterfield Rd
Suite 220
Downers Grove, IL 60515
Phone: (630) 788-8040
Fax: (630) 424-0425
Organisation at this address: Northwest Medical Lab Inc
Dupage County Diagnostics Llc
Grove Diagnostic Solutions Inc
Transworld Medical Equipment,Inc
Ageless Men'S Health Holdings, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-06-22

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