MR. PATRICIA BASTA, RD,LDN

Dietitian, Registered

Active Individual
NPI: 1407087356

Practice Address

12935 GREGORY ST
Blue Island, IL 60406

Phone: (708) 597-2000

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes 164.002470 (IL)

Frequently Asked Questions

NPI 1407087356 is the National Provider Identifier for MR. PATRICIA BASTA, RD,LDN, a Dietitian, Registered provider located in Blue Island, IL. This NPI was enumerated on July 27, 2009.
MR. PATRICIA BASTA, RD,LDN practices at 12935 GREGORY ST, Blue Island, IL 60406.

Quick Facts

NPI
1407087356
Type
Individual
Enumerated
Jul 27, 2009
Last Updated
Jul 27, 2009

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