RAY BASA

SKOKIE, IL
NPI1447429790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  238000041)
Enumeration Date2008-02-20
Last Update Date2008-02-20
Business Address
-- RAY BASA SA
9600 GROSS POINT RD
SKOKIE, IL 60076-1214
Phone number: 773-404-0160
Mailing Address
-- RAY BASA SA
9600 GROSS POINT RD
SKOKIE, IL 60076-1214
Phone number: 773-404-0160
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