Ryan Lee Basden, | |
347 S Gladstone Ave, Aurora, IL 60506-4877 | |
(618) 973-0615 | |
Not Available |
Full Name | Ryan Lee Basden |
---|---|
Gender | Male |
Speciality | Preventive Medicine - Sports Medicine |
Location | 347 S Gladstone Ave, Aurora, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043715899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083S0010X | Preventive Medicine - Sports Medicine | 2083S0010X (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ryan Lee Basden, 413 E Harrison St, Morton, IL 61550-1608 Ph: () - | Ryan Lee Basden, 347 S Gladstone Ave, Aurora, IL 60506-4877 Ph: (618) 973-0615 |
Ronald C Gregus, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Ogden Ave, Aurora, IL 60504 Phone: 615-778-4066 | |
Dr. Charles Graham Woodward, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1320 N. Highland Ave., Aurora, IL 60506 Phone: 630-859-8159 Fax: 630-859-8474 | |
Eric Raul Simental, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1014 Claim St, Aurora, IL 60505 Phone: 630-674-0898 |