LESLIE BASSELL (NPI# 1578960084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578960084 |
| Entity Type | Individual |
| Full Name | LESLIE BASSELL |
| Practice Address |
5061 N Pulaski Rd Chicago IL 60630-2706 |
| Practice Telephone | 6304539331 |
| Mailing Telephone | 6304539331 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012147 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209012147 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5061 N PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861488231 | Fairmont Care Centre, Inc. | Skilled Nursing Facility | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2005-09-21 |
| 1184274383 | Sheree Ledwell | Dietitian, Registered | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2019-09-19 |
| 1326586132 | Briana Verdel Reamer | Dietitian, Registered | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2017-02-01 |
| 1639626401 | Superior Physician Services Il LLC | Internal Medicine | 5061 N Pulaski Rd, Suite 200b, Chicago, IL 60630-2706 | 2016-09-08 |
| 1326434754 | Bassell Nurse Practitioner Services, LLC | Licensed Practical Nurse | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2015-04-13 |
| 1659718294 | Sandra L Kurby | Dietitian, Registered | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2013-05-22 |
| 1538504154 | Tina M Schroll | Dietitian, Registered | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2013-05-09 |
| 1700010543 | Cynthia Chow & Associates LLC | Exclusive Provider Organization | 5061 N Pulaski Rd, Suite 300, Chicago, IL 60630-2706 | 2009-05-07 |
| 1043458938 | Jennifer Marie Spilotro | Nutritionist | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2009-01-30 |
| 1952524795 | Svetlana Bodnya | Physical Therapy Assistant | 5061 N Pulaski Rd, Chicago, IL 60630-2706 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1366926347 | Kimberly Snell Blanchard | Nurse Practitioner | 600 S Paulina St Ste 130, Chicago, IL 60612-3806 | 2018-09-17 |
| 1942796123 | Elizabeth R Reyna | Nurse Practitioner | 5841 S Maryland Ave # Mc7120, Chicago, IL 60637-1443 | 2018-07-10 |
| 1518475615 | Kyla Lynn Musser | Nurse Practitioner | 2525 S Michigan Ave Ste 12, Chicago, IL 60616-2315 | 2018-01-11 |
| 1942717418 | Madiha Khan | Nurse Practitioner | 3000 N Halsted St Ste 623, Chicago, IL 60657 | 2018-01-05 |
| 1952828980 | Paulina Petrishka | Nurse Practitioner | 1115 N Crosby St # C, Chicago, IL 60610-2405 | 2017-08-30 |
| 1831639384 | Ivory Rhymes | Nurse Practitioner | 8750 W Bryn Mawr Ave, Chicago, IL 60631-3655 | 2017-03-02 |
| 1265971204 | Venus Liezl Basnillo- San Diego | Nurse Practitioner | 1628 N Bell Ave, Apt 1, Chicago, IL 60647-5289 | 2017-02-22 |
| 1093253718 | Daniel Robert Mead | Nurse Practitioner | 1540 W Chicago Ave, Chicago, IL 60642-5236 | 2017-02-01 |
| 1992249585 | Karen Panganiban | Nurse Practitioner | 4605 N Elston Ave, 3a, Chicago, IL 60630-4373 | 2016-12-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.