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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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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