Organization
EVELYN G. BASCO,M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN GANADEN BASCO M.D. (PRESIDENT)
(773) 533-3440
Entity
Organization
Contact information
Practice address
3900 W MADISON ST, CHICAGO, IL 60624-2354
(773) 533-3440
Mailing address
3900 W MADISON ST, CHICAGO, IL 60624-2354
(773) 533-3440
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036055675
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055675
—
IL
Enumeration date
04/27/2009
Last updated
06/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us