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1619963873
SURENDRA BASTI
CHICAGO, IL
NPI
1619963873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036-112224)
Enumeration Date
2005-09-23
Last Update Date
2009-10-06
Business Address
-- SURENDRA BASTI MD
2300 N CHILDRENS PLZ
CHICAGO, IL 60614-3363
Phone number: 630-789-2550
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Mailing Address
-- SURENDRA BASTI MD
777 OAKMONT LN SUITE 1600
WESTMONT, IL 60559-5511
Phone number: 630-288-6215
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