Evergreen Health Cre

LBN: Evergreen Health Cre
Evergreen Health Cre is an health care organization with primary practice located at 5540 W 111Th St , Oak Lawn IL 60453-5035. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Evergreen Health Cre can be contacted via phone (708) 423-8440, or through Smith, David J via phone (708) 423-8440.

Contact Information

Primary practice address
5540 W 111Th St Oak Lawn IL 60453-5035
Phone: (708) 423-8440
Fax: (708) 658-2958
Website:
Map and Directions
Authorized official contact:
Name: Smith, David J Doctor of Medicine (MD)
Phone: (708) 423-8440

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00000 Illinois

Profile Details

NPI number 1164457701
LBN Legal business name Evergreen Health Cre
DBA Doing business as
Authorized official Smith, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 17th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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