Mikail Bass

NPI #1568924561 in Hazel Crest, Illinois

Provider Information

NPI Number: 1568924561
Entity Type: Individual
Name: Mikail Bass
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Apr 1, 2019
Last Updated: Apr 1, 2019

Practice Location

Address: 17114 WHITTIER AVE
City: Hazel Crest
State: Illinois
ZIP Code: 60429-1120
Phone: (708) 646-4467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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