Jessica Anna Basala in Mokena - Chiropractor
Jessica Anna Basala - NPI 1245375344
Jessica Anna Basala is a Chiropractor in Mokena, Illinois. Jessica Anna Basala practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jessica Anna Basala is 1245375344. The last update date is 2016-06-03.
Jessica Anna Basala's current location address is 19636 S La Grange Rd, Mokena, Illinois. You can contact this provider via phone number 7084785822. The mailing address for Jessica Anna Basala is 19636 S La Grange Rd, Mokena, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Anna Basala |
|---|---|
| Address | 19636 S La Grange Rd, Mokena, Illinois |
| Phone Number | 7084785822 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1245375344 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2016-06-03 |
Provider Mailing Address Detail
| Address | 19636 S La Grange Rd |
|---|---|
| City | Mokena |
| State | Illinois (IL) |
| Post Code | 604489321 |
| Phone Number | 7084785822 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38011189 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Jessica Anna Basala by the Centers for Medicare & Medicaid Services?
The Jessica Anna Basala has been issued the NPI (National Provider Identifier) 1245375344. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessica Anna Basala's facilities are geographically located?
The facilities of Jessica Anna Basala are physically situated at the following location: 19636 S La Grange Rd, Mokena, IL, 604489321.
What is the Jessica Anna Basala's area of specialization and corresponding taxonomy classification?
The Jessica Anna Basala's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1245375344 assigned to Jessica Anna Basala?
The Jessica Anna Basala was issued its 1245375344 on 2007-02-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jessica Anna Basala, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Anna Basala, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-06-03.