Most Relevant Information
Provider Data
| NPI Number: | 1003015942 |
| Provider Name: | KAREN LYNN BASSIMER |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/11/2007 |
| Last Updated: | 07/11/2007 |
Provider Practice Location
16 EAGLE DR
BELLEVILLE
IL
622214403
Practice Location Phone/Fax
| Phone: | 6186326016 |
| Fax: |
Provider Mailing Location
16 EAGLE DR
BELLEVILLE
IL
622214403
Provider Mailing Phone/Fax
| Phone: | 6186326016 |
| Fax: |