RYAN LEE BASDEN


Address: 347 S Gladstone Ave, Aurora, IL 60506-4877
Phone: 6189730615

RYAN LEE BASDEN (NPI# 1043715899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043715899
Entity Type Individual
Full Name RYAN LEE BASDEN
Practice Address 347 S Gladstone Ave
Aurora
IL 60506-4877
Mailing Address 413 E Harrison St
Morton
IL 61550-1608
Practice Telephone 6189730615
Enumeration Date 2018-03-26
Last Update Date 2018-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083S0010X Preventive Medicine
Specialization: Sports Medicine
2083S0010X IL Allopathic & Osteopathic Physicians

Office Location

Street Address 347 S GLADSTONE AVE
City AURORA
State IL
Zip Code 60506-4877

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346218849 Oscar Harry Krieger Specialist 347 S Gladstone Ave, Aurora, IL 60506-4877 2006-03-09
1144786419 Cody D Cardillo Student in an Organized Health Care Education/Training Program 347 S Gladstone Ave, Aurora, IL 60506-4877 2019-02-12
1407310246 Jorge L Quintero Guzman Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4877 2019-01-25
1982168878 Alexa Anais Lopez Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4892 2019-01-25
1285198010 Brandi Jean Riess Student in an Organized Health Care Education/Training Program 347 S Gladstone Ave, Aurora, IL 60506-4877 2019-01-25
1700361888 Ashley Harris Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4892 2018-09-25
1568959963 Anissa Carrillo Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4877 2018-04-20
1649776956 Zachary Jerome Katzel Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4892 2018-04-04
1447755244 Isabel Anna Jarnow Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4877 2018-03-26
1689106239 Nicole Dawn Pieart Specialist/Technologist 347 S Gladstone Ave, Aurora, IL 60506-4877 2017-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225678121 Yvette Velazquez Non-emergency Medical Transport (VAN) 1743 Plum St, Aurora, IL 60506 2020-01-09
1609420173 Salma Hydari Dentist 1264 N Lake St., Aurora, IL 60506 2019-08-01
1720647092 Tirumala Aggarwal Dentist Premier Dental, 1264 N Lake Street, Aurora, IL 60506 2019-06-11
1730644410 Margaret Elizabeth Beallis Counselor 120 Gale St., Aurora, IL 60506 2019-02-06
1639634322 Jordan Devera Student in an Organized Health Care Education/Training Program Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 2019-02-06
1770077737 Harriet L Miller Registered Nurse 1081 Emerald Dr, Aurora, IL 60506 2018-06-21
1275033516 Lillian Antonia Villamil Registered Nurse 400 Mercy Lane, Aurora, IL 60506 2018-02-13
1689173676 Ideal Medical Equipment and Supplies Durable Medical Equipment & Medical Supplies 1177 N Highland Ave Ste#204, Aurora, IL 60506 2018-02-06
1417465535 Aaron Downing Counselor 525 N. Edgelawn Ave, Aurora, IL 60506 2018-01-11
1942739222 Jessica Toma Pharmacist 1952 W Galena Blvd, Aurora, IL 60506 2017-06-08
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Taxonomy Information

Taxonomy Code 2083S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Sports Medicine

Taxonomy Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760987515 Eric Raul Simental Preventive Medicine 1014 Claim St, Aurora, IL 60505 2018-03-26
1750425542 Raymond K Herr Preventive Medicine 2500 S Havana St, Aurora, CO 80014-1618 2007-02-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750998704 Jacob Quinn Preventive Medicine 1009 Wellington Dr, Washington, IL 61571-1378 2020-09-24
1639530603 Sidney Dreyer Preventive Medicine 1920 Football Dr, Lake Forest, IL 60045-4829 2016-03-17
1861445256 Robert J Strugala Preventive Medicine 2850 S Wabash Ave, Suite 100, Chicago, IL 60616-2955 2006-05-18

Competitor

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City AURORA
Zip Code 60506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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