DR EVELYN G BASCO MD, SC – NPI #1629243282
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

DR EVELYN G BASCO MD, SC is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1629243282 to DR EVELYN G BASCO MD, SC on April 24, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 17 years ago on Aug 12, 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 DR EVELYN G BASCO MD, SC below.

NPI Profile for
DR EVELYN G BASCO MD, SC

NPI Number
1629243282
Enumeration Date

(more than 18 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
DR EVELYN G BASCO MD, SC
Primary location
3900 W MADISON ST
CHICAGO, IL 60624-2354
Phone: (773) 533-3440 Fax: (773) 884-8117
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LILYFLOR JOSE
ADM ASSIST
Phone: (773) 737-8818
Updated
Identifiers

Identifiers for DR EVELYN G BASCO MD, SC

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
OTHERGROUP NPI1235373853
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
208D00000X
- General Practice (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.