MR. Patricia Ann Basta, RD,LDN

NPI #1407087356 in Blue Island, Illinois

Provider Information

NPI Number: 1407087356
Entity Type: Individual
Name: MR. Patricia Ann Basta, RD,LDN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD,LDN
Enumeration Date: Jul 27, 2009
Last Updated: Jul 27, 2009

Practice Location

Address: 12935 GREGORY ST
City: Blue Island
State: Illinois
ZIP Code: 60406-2428
Phone: (708) 597-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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