Individual
SANMIT KUMAR BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC4051, CHICAGO, IL 60637-1443
(773) 702-1061
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036122876
IL
2080P0202X
Pediatric Cardiology Physician
35123781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104564
—
OH
Enumeration date
08/06/2008
Last updated
10/31/2018
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