Dr Evelyn G Basco Md, Sc

LBN: Dr Evelyn G Basco Md, Sc
Dr Evelyn G Basco Md, Sc is an health care organization with primary practice located at 3900 W Madison St , Chicago IL 60624-2354. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Dr Evelyn G Basco Md, Sc can be contacted via phone (773) 533-3440, or through Jose, Lilyflor G via phone (773) 737-8818.

Contact Information

Primary practice address
3900 W Madison St Chicago IL 60624-2354
Phone: (773) 533-3440
Fax: (773) 884-8117
Website:
Map and Directions
Authorized official contact:
Name: Jose, Lilyflor G
Phone: (773) 737-8818

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036055675 Illinois

Profile Details

NPI number 1629243282
LBN Legal business name Dr Evelyn G Basco Md, Sc
DBA Doing business as
Authorized official Jose, Lilyflor G
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Aug 12th, 2009 - about 15 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629243282 NPPES
Other 1235373853 GROUP NPI
MEDICAID 036055675 GROUP NPI

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