| Ryan Lee Basden, | |
| 
					347 S Gladstone Ave, Aurora, IL 60506-4877  | |
| (618) 973-0615 | |
| Not Available | 
| Full Name | Ryan Lee Basden | 
|---|---|
| Gender | Male | 
| Speciality | Preventive Medicine - Sports Medicine | 
| Location | 347 S Gladstone Ave, Aurora, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043715899 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2083S0010X | Preventive Medicine - Sports Medicine | 2083S0010X (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ryan Lee Basden, 413 E Harrison St, Morton, IL 61550-1608 Ph: () -  | Ryan Lee Basden, 347 S Gladstone Ave, Aurora, IL 60506-4877 Ph: (618) 973-0615  | 
Ronald C Gregus, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Ogden Ave, Aurora, IL 60504 Phone: 615-778-4066  | |
Dr. Charles Graham Woodward, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1320 N. Highland Ave., Aurora, IL 60506 Phone: 630-859-8159 Fax: 630-859-8474  | |
Eric Raul Simental,  Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1014 Claim St, Aurora, IL 60505 Phone: 630-674-0898  |