Nasrullah M. Basha, Md, Ltd

NPI #1992720668 in Chicago, Illinois

Provider Information

NPI Number: 1992720668
Entity Type: Organization
Organization Name: Nasrullah M. Basha, Md, Ltd
Primary Specialty: Specialist
Enumeration Date: Jul 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2315 E 93RD ST
Address 2: STE 222
City: Chicago
State: Illinois
ZIP Code: 60617-3936
Phone: (773) 734-4242

Authorized Official

Name: NASRULLAH M BASHA, MD
Title: MEDICAL DOCTOR
Phone: (773) 734-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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