Dr PAUL T BASILE DPM is a male medical professional, specializing in Podiatry. He graduated in 1990 from Dr. William M. Scholl College Of Podiatric Medicine.
GREAT LAKES FOOT AND ANKLE CENTERS INC
6123 GREEN BAY RD
SUITE 100
KENOSHA
WI
531422939
Tel: 2626533668
| Npi | 1417951898 |
| Pac Id | 9830166941 |
| Professional Enrollment Id | I20040917000086 |
| Last Name | BASILE |
| First Name | PAUL |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | DPM |
| Medical School Name | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | GREAT LAKES FOOT AND ANKLE CENTERS INC |
| Group Practice Pac Id | 4789651894 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 6123 GREEN BAY RD |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | KENOSHA |
| State | WI |
| Zip Code | 531422939 |
| Phone Number | 2626533668 |
| Hospital Affiliation Ccn 1 | 140304 |
| Hospital Affiliation Lbn 1 | ADVENTIST BOLINGBROOK HOSPITAL |
| Hospital Affiliation Ccn 2 | 140007 |
| Hospital Affiliation Lbn 2 | PRESENCE SAINT JOSEPH MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 520189 |
| Hospital Affiliation Lbn 3 | AURORA MEDICAL CENTER KENOSHA |
| Hospital Affiliation Ccn 4 | 140122 |
| Hospital Affiliation Lbn 4 | HINSDALE HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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