EVELYN G. BASCO,M.D.,S.C.
NPI 1235373853
Clinic/Center - Primary Care in Chicago, IL

Active since April 27, 2009
3900 W MADISON ST, CHICAGO, IL 60624(773) 533-3440 Get Directions Write a Review

NPPES record last updated: June 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evelyn G. Basco,m.d.,s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVELYN G. BASCO,M.D.,S.C. (NPI 1235373853) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since April 2009. The organization lists Evelyn Ganaden Basco, President, as its authorized official.

NPPES Registry Identity

NPI1235373853
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVELYN G. BASCO,M.D.,S.C.
Location Address3900 W MADISON STChicago, IL 60624-2354
Mailing Address3900 W Madison StChicago, IL 60624-2354 · (773) 533-3440
Organization SubpartNo
Authorized OfficialEvelyn Ganaden BascoPresident · (773) 533-3440
Enumeration DateApril 27, 2009
Last NPPES UpdateJune 10, 2009
NPI 1235373853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036055675
3900 W MADISON ST, Chicago, IL 60624

Other Identifiers 2

Medicare UPIND13176IL
Medicaid036055675IL

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
3900 W MADISON ST
CHICAGO, IL 60624
Dentist (General Practice)
3900 W MADISON ST, SUITE 12
CHICAGO, IL 60624
Dentist (General Practice)
3900 W MADISON ST, #14
CHICAGO, IL 60624
Family Medicine
3900 W MADISON ST, SUITE 13
CHICAGO, IL 60624
Pharmacy (Community/Retail Pharmacy)
3900 W MADISON ST, STE 13
CHICAGO, IL 60624
Dentist
3900 W MADISON ST, SUITE #12
CHICAGO, IL 60624
Dentist
3900 W MADISON ST, SUITE 12
CHICAGO, IL 60624
Pharmacist
3900 W MADISON ST, 13
CHICAGO, IL 60624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evelyn G. Basco,m.D.,s.C.'s NPI number?

The NPI number for Evelyn G. Basco,m.D.,s.C. is 1235373853. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Evelyn G. Basco,m.D.,s.C. located?

Evelyn G. Basco,m.D.,s.C. is located at 3900 W Madison St, Chicago, IL 60624. The listed phone number is (773) 533-3440.

What is Evelyn G. Basco,m.D.,s.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Evelyn G. Basco,m.D.,s.C. was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.