EVELYN G. BASCO,M.D.,S.C. – NPI #1235373853
Clinic/Center

EVELYN G. BASCO,M.D.,S.C. is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1235373853 to EVELYN G. BASCO,M.D.,S.C. on April 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 17 years ago on Jun 10, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVELYN G. BASCO,M.D.,S.C. below.

NPI Profile for
EVELYN G. BASCO,M.D.,S.C.

NPI Number
1235373853
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVELYN G. BASCO,M.D.,S.C.
Primary location
3900 W MADISON ST
CHICAGO, IL 60624-2354
Phone: (773) 533-3440 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EVELYN BASCO
PRESIDENT
Phone: (773) 533-3440
Updated
Identifiers

Identifiers for EVELYN G. BASCO,M.D.,S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036055675
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
IL 036055675

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.