Individual
DR. BASIT G. NISBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2421 183RD ST, HOMEWOOD, IL 60430-3120
(708) 917-5041
(708) 365-6184
Mailing address
18430 S HALSTED ST, GLENWOOD, IL 60425-1013
(708) 755-7605
(708) 755-7616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-022628
IL
1223G0001X
General Practice Dentistry
019-022628
IL
Other
Enumeration date
07/27/2009
Last updated
05/01/2025
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