Individual provider · Type 1 NPI
Ryan Lee Basden
Sports Medicine (Preventive Medicine) Physician · Aurora, IL
NPI number
1043715899
Active
Practice location
347 S Gladstone Ave
Aurora, IL 60506-4877
Mailing address
413 E Harrison St
Morton, IL 61550-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | 2083S0010X (IL) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
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About NPI 1043715899
Ryan Lee Basden's National Provider Identifier is 1043715899, issued on Mar 26, 2018. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Aurora, IL. The record was last updated on Mar 26, 2018.