Individual provider Active NPI

Hebert Tascon, INC

  • Private Vehicle
  • Chicago, IL
National Provider Identifier
1164895165
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
License
T250-3205-424901 Issued in WI
Practice address
5828 N Maplewood Ave
Chicago, IL 60659-5013
Phone
(773) 984-8587
NPI assigned
Nov 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X T250-3205-424901 WI Primary

Addresses

Primary practice location

5828 N Maplewood Ave
Chicago, IL 60659-5013

Mailing address

5828 N Maplewood Ave
Chicago, IL 60659-5013
Phone (773) 984-8587

Other identifiers 1

IdentifierTypeStateIssuer
453200993OtherILPRIVATE PROVIDER

Other names 1

  • Diana B Tascon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T250-3205-424901WIMDPrivate Vehicle

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1164895165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595013",
            "telephone_number": "773-984-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595013",
            "telephone_number": "773-984-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCON",
        "first_name": "HEBERT",
        "credential": "INC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "WI",
            "license": "T250-3205-424901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PROVIDER",
            "identifier": "453200993",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "TASCON",
            "middle_name": "B",
            "credential": "INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.