EVELYN G. BASCO,M.D.,S.C.

NPI # 

Practice Address:

3900 W Madison St

Chicago, IL, 60624-2354

Practice Phone:

773-533-3440

License Number:

036055675

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Primary Care

Taxonomy Code:

261QP2300X