Search › Illinois › 207WX0107X
Sreenivasa Basavanthappa, MD
NPI 1497953871 · on the registry since 2007
Practice
- Address
- 2501 E College Ave Ste B
Bloomington, IL 61704 - Phone
- (309) 557-8666
- Fax
- (309) 827-8027
- Organisation at this address
- Pro Podiatry, Llc
Heartland Eyecare Group
Hillman Chiropractic P.C.
Bly Chiropractic Clinic, P.C.
Central Illinois Center For Wellness, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Additional practice sites
- 322 W Marion Ave, Forsyth, IL
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois