Organization
BASEL AL-ASWAD M D S C
Active
Other names
Evergreen Orthopedics SC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEL I AL-ASWAD MD (PRESIDENT)
(708) 499-4844
Entity
Organization
Contact information
Practice address
2850 W 95TH ST, SUITE 406, EVERGREEN PARK, IL 60805-2790
(708) 499-4844
(708) 499-0731
Mailing address
2850 W 95TH ST, SUITE 406, EVERGREEN PARK, IL 60805-2790
(708) 499-4844
(708) 499-0731
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036048539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036048539
LICENSE NUMBER
IL
01
—
31602972
BCBS PROVIDER #
IL
01
—
CG7199
MEDICARE ID-RAILROAD
IL
Enumeration date
01/30/2007
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up