Michael Basta

NPI #1750184511 in Oak Lawn, Illinois

Provider Information

NPI Number: 1750184511
Entity Type: Individual
Name: Michael Basta
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Mar 28, 2025
Last Updated: Mar 28, 2025

Practice Location

Address: 10639 S CICERO AVE
City: Oak Lawn
State: Illinois
ZIP Code: 60453-5269
Phone: (708) 424-3594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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