Eva Astacio, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

020.017876 Issued in IL

Practice address

1520 N Kostner Ave
Chicago, IL 60651-1610

Phone

(312) 216-8020

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Near North Health Service Corporation

  dba Winfield Moody Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1821079088
  Medicare reassignment NPD
• Near North Health Service Corporation

  dba Cottage View Health Center

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1073594297
  NPD
• Near North Health Service Corporation

  dba Near North Health Family Health Center at Oakwood Shores

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1740166255
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1720849995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 N LATROBE AVE FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512962",
            "telephone_number": "872-305-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N KOSTNER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511610",
            "telephone_number": "312-216-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTACIO",
        "first_name": "EVA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "IL",
            "license": "020.017876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Association House of Chicago
• Association House of Chicago-Dulcinea
• Catherine Assouline, OTR/L
• Assyrian American Association of Chicago, Inc.,
• Assyrian National Council of Illinois
• Aster Home Health Service, LLC
• Asterline Home Medical LLC
• Shravan Asthana, BS
• Gopi Jayendra Astik, M.D.
• Claire Astone

• Dental Hygienist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Hygienist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.