Evelyn G. Basco, MD, SC
Evelyn G. Basco, MD, SC is a Primary Care Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.
- Licensed in
- IL
- In the registry since
- 2009
Practice location Address checks out
3900 W Madison StChicago, IL 60624-2354
Phone: (773) 533-3440
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Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 036055675 (IL) |
|---|
Record details
| NPI number | 1235373853 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evelyn Basco — President · (773) 533-3440 |
| NPI enumerated | April 27, 2009 |
| Last updated in NPPES | June 10, 2009 |
| Mailing address | 3900 W Madison St, Chicago, IL 60624-2354 |
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