Individual
BASIRAT ROMOKE BALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, DNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 834-4946
(773) 834-2058
Mailing address
9745 S KARLOV AVE, APT. 203, OAK LAWN, IL 60453-3389
(708) 299-3064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014251
IL
Other
Enumeration date
11/18/2016
Last updated
07/03/2020
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