Individual provider · Type 1 NPI

Basil Francis Mirza

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1952100166 Active

Practice location

5841 S Maryland Ave # MC6038
Chicago, IL 60637-1443

Call (773) 702-1860 Map

Fax (773) 702-2883

Mailing address

180 Harvester Dr Ste 110
Burr Ridge, IL 60527-4503

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952100166

Basil Francis Mirza's National Provider Identifier is 1952100166, issued on Mar 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 9, 2026.