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1962945261
BASIRAT ROMOKE BALE
CHICAGO, IL
NPI
1962945261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209014251)
Enumeration Date
2016-11-18
Last Update Date
2020-07-03
Business Address
BASIRAT ROMOKE BALE APN, DNP
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-834-4946
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Mailing Address
BASIRAT ROMOKE BALE APN, DNP
9745 S KARLOV AVE APT. 203
OAK LAWN, IL 60453-3389
Phone number: 708-299-3064
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