IndividualActive
Ryan Basden
NPI 1043715899 · Sports Medicine (Preventive Medicine) Physician · Aurora, IL
Provider details
- NPI number
- 1043715899
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 2083S0010X (IL)
Mailing address
413 E Harrison St
Morton, IL 61550-1608
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.