Basti, Surendra
Basti, Surendra is an individual health care provider with primary practice located at 2300 N Childrens Plz , Chicago IL 60614-3363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Basti, Surendra can be contacted via phone (630) 789-2550.Contact Information
Primary practice address
2300 N Childrens Plz
Chicago IL 60614-3363
Phone: (630) 789-2550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036-112224 | Illinois |
Profile Details
| NPI number | 1619963873 |
|---|---|
| LBN Legal business name | Basti, Surendra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Oct 6th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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