institution
Evelyn G. Basco,m.d.,s.c.
Primary Care Clinic/Center in Chicago, Illinois
NPI 1235373853

Evelyn G. Basco,m.d.,s.c. is a Primary Care Clinic/Center based in Chicago, IL and is specialized in Primary Care. Evelyn G. Basco,m.d.,s.c. practices in Chicago, IL. The NPI Number for Evelyn G. Basco,m.d.,s.c. is 1235373853 and holds a License No. 036055675 (Illinois).

The current practice location address for Evelyn G. Basco,m.d.,s.c. is 3900 W Madison St, Chicago, IL and can be reached out via phone at 773-533-3440.

Location: 3900 W Madison St, Chicago, IL, 60624-2354
institution
Provider Profile Details
NPI Number
1235373853
Provider Name
Evelyn G. Basco,m.d.,s.c.
Credential
Provider Entity Type
Organization
Address
3900 W Madison St, Chicago, IL, 60624-2354
Phone Number
773-533-3440
Fax Number
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036055675 05 IL
institution
Provider Business Practice Location Address Details
Address
3900 W Madison St
City
State
Zip
60624-2354
Phone Number
773-533-3440
Fax Number
person
Provider Business Mailing Address Details
Address
3900 W Madison St
City
State
Zip
60624-2354
Phone Number
773-533-3440
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
036055675 (Illinois)
Definition
Definition to come...
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