Anupam Basu, M.D.
Radiology, Diagnostic Radiology in Evanston, IL. Individual provider (NPI-1).
NPI number1043486533
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1043486533
- Entity type
- Individual (NPI-1)
- Name
- Anupam Basu
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2008
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036120161 | IL | Yes |
| 2085B0100X | Radiology, Body Imaging | 036120161 | IL |
Practice location
2650 Ridge AveEvanston Hospital
Evanston, IL 60201-1718
Phone 847-570-2000
Mailing address
2650 Ridge AveEvanston Hospital
Evanston, IL 60201-1718
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