| Mr Patricia Ann Basta, RD,LDN | |
|
12935 Gregory St, Blue Island, IL 60406-2428 | |
| (708) 597-2000 | |
| (708) 824-4654 |
| Full Name | Mr Patricia Ann Basta |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 12935 Gregory St, Blue Island, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407087356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 164.002470 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patricia Ann Basta, RD,LDN 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 | Mr Patricia Ann Basta, RD,LDN 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 597-2000 |
Mrs. Rita Brongiel, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4654 | |
Mrs. Kathryn K Kunz, RDLDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4654 | |
Anne Guinane, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-824-4659 | |
Ms. Terri Beatty, RDLDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4654 | |
Mrs. Janice M Nelson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 Fax: 708-824-4654 |