Individual
LINDA N BASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2902 MACFARLAND ROAD, SUITE 300, ROCKFORD, IL 61107
(815) 316-6888
Mailing address
2902 MACFARLAND ROAD, SUITE 300, ROCKFORD, IL 61107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
500502910
IL
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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