Evergreen Orthopedics Sc
LBN: Basel Al-Aswad M D S C
Evergreen Orthopedics Sc is an health care organization with primary practice located at 2850 W 95Th St Suite 406, Evergreen Park IL 60805-2790. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty.
Basel Al-Aswad M D S C can be contacted via phone (708) 499-4844, or through Al-Aswad, Basel I via phone (708) 499-4844.
Contact Information
Primary practice address
2850 W 95Th St Suite 406
Evergreen Park IL 60805-2790
Phone: (708) 499-4844
Fax: (708) 499-0731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036048539 | Illinois |
Profile Details
| NPI number | 1083751150 |
|---|---|
| LBN Legal business name | Basel Al-Aswad M D S C |
| DBA Doing business as | Evergreen Orthopedics Sc |
| Authorized official | Al-Aswad, Basel I Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083751150 | NPPES |
| Illinois | Other | 036048539 | LICENSE NUMBER |
| Illinois | Other | 31602972 | LICENSE NUMBER |
| Illinois | Other | CG7199 | LICENSE NUMBER |
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