Lookup NPI Numbers from the NPI Registry
NPI Profile for Dr ETHEL A BASS in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Counselor |
101Y00000X | |||
Mental Health |
101YM0800X |
| NPI Number | 1629807250 |
|
| Status | Active | |
| Credentials | PHD, CADC, CODP1 | |
| Entity | Individual | |
| Enumeration date | 07/31/2024 | |
| Last updated | 05/31/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ETHEL A BASS
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ETHEL A BASS, PHD, CADC, CODP1