SUPARNA BASU

PEORIA, IL
NPI1679719777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036.147481)
Enumeration Date2008-12-21
Last Update Date2020-12-23
Business Address
SUPARNA BASU MD
228 NE JEFFERSON AVE
PEORIA, IL 61603-3802
Phone number: 309-671-8005
Mailing Address
SUPARNA BASU MD
150 SAXON WOODS RD
SCARSDALE, NY 10583-7804
Phone number: 516-232-5732
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