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1265488647
BASAVA ANCHA
CHICAGO, IL
NPI
1265488647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036085594)
Enumeration Date
2006-05-26
Last Update Date
2020-10-30
Business Address
Dr. BASAVA ANCHA MD
5145 N CALIFORNIA AVE ICU
CHICAGO, IL 60625-3661
Phone number: 773-878-8200
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Mailing Address
Dr. BASAVA ANCHA MD
2740 W FOSTER AVE LL7
CHICAGO, IL 60625-3500
Phone number: 773-878-8200
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