MEDICARE: BASES GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	103K00000X	Behavior Analyst
3	106S00000X	Behavior Technician
4	251S00000X	Community/Behavioral Health Agency
5	103K00000X	Behavior Analyst	1-14-10456	CO

General Provider Information

NPI Number	:	1720580889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASES GROUP INC

Provider Business Mailing Address
First Line	:	901 BIESTERFIELD RD STE 110
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3393
Country	:	US
Telephone Number	:	630-303-6825
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 BIESTERFIELD RD STE 110
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3393
Country	:	US
Telephone Number	:	630-303-6825
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MUHAMMAD IMRAN ALVI
Credential	:	BCBA
Telephone Number	:	630-303-6825

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	03/20/2025

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