Nurse Practitioner, Family
LARISA BASA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1336884493 · enumerated 2022-05-03 · record updated 2022-12-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1675 W DEMPSTER ST, PARK RIDGE, IL, 60068-1110 (847) 723-9470 Google Maps Apple Maps OpenStreetMap
- Mailing address 29373 NETWORK PL, CHICAGO, IL, 60673-2926 (847) 390-5900 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Family 363LF0000X · Primary · License 209.024855 IL
Published links
In this directory
Locations and evidence
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Practice location
PARK RIDGE, IL, 600681110
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.