Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bristi Basu

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336955343

Bristi Basu is a Physician Assistant in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Rush University Medical Group, a 1,499-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1520 W Harrison St
Chicago, IL 60607-3106
Phone: (312) 942-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1336955343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing address1520 W Harrison St, Chicago, IL 60607-3106

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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