Individual
RABIAH BASITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2119
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-165633
IL
Other
Enumeration date
04/22/2020
Last updated
09/08/2023
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