Ryan Lee Basden Valid NPI
Individual provider · Sports Medicine (Preventive Medicine) Physician · Aurora, IL
- NPI
- 1043715899
- Type
- Individual (Type 1)
- Primary specialty
- Sports Medicine (Preventive Medicine) Physician (Preventive Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2083S0010X
- License number
- 2083S0010X (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Practice location
347 S Gladstone Ave
Aurora, IL 60506-4877
(618) 973-0615