| Base10 Genetics, Llc | |
|
70 E Lake St Ste 226 Chicago IL 60601-7650 | |
| (866) 710-1018 | |
| Not Available |
| Full Name | Base10 Genetics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 70 E Lake St Ste 226, Chicago, Illinois |
| Authorized Official Name and Position | Catherine Antoinette Fetzer (VICE PRESIDENT STRATEGIC OPERATIONS) |
| Authorized Official Contact | 2153277222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Base10 Genetics, Llc 70 E Lake St Ste 226 Chicago IL 60601-7650 Ph: (866) 710-1018 | Base10 Genetics, Llc 70 E Lake St Ste 226 Chicago IL 60601-7650 Ph: (866) 710-1018 |
| NPI Number | 1477158020 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 08/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477158020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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