person
Mr. Paul T Basile, DPM
Foot & Ankle Surgery Podiatrist in Bolingbrook, Illinois
NPI 1417951898

Paul T Basile is a Foot & Ankle Surgery Podiatrist based in Bolingbrook, IL and is specialized in Foot & Ankle Surgery. Paul T Basile practices in Bolingbrook, IL and has the professional credentials of DPM. The NPI Number for Paul T Basile is 1417951898 and holds a License No. 016-004455 (Illinois).

The current practice location address for Paul T Basile is 215 Remington Blvd Ste A2, Bolingbrook, IL and can be reached out via phone at 630-226-9860 and via fax at 630-312-8662.

Location: 215 Remington Blvd Ste A2, Bolingbrook, IL, 60440-3657
person
Provider Profile Details
NPI Number
1417951898
Provider Name
Paul T Basile
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
215 Remington Blvd Ste A2, Bolingbrook, IL, 60440-3657
Phone Number
630-226-9860
Fax Number
630-312-8662
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09922757 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
215 Remington Blvd Ste A2
City
State
Zip
60440-3657
Phone Number
630-226-9860
Fax Number
630-312-8662
person
Provider Business Mailing Address Details
Address
215 Remington Blvd Ste A2
City
State
Zip
60440-3657
Phone Number
630-226-9860
Fax Number
630-312-8662
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016-004455 (Illinois)
Definition
Definition to come...
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