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

Larisa G Basa

Individual provider Family Nurse Practitioner · NPI 1336884493

Larisa G Basa is a Family Nurse Practitioner in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

1675 W Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 723-9470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.024855 (IL)

Record details

NPI number1336884493
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-2926

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