Individual
HASEEB ILIAS BASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, FAPC, URBANA, IL 61801
(217) 383-3210
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036143961
IL
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036143961
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036143961
IL
Other
Enumeration date
08/02/2010
Last updated
10/01/2025
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