Evergreen Medical Group Sc

LBN: Evergreen Medical Group Sc
Evergreen Medical Group Sc is an health care organization with primary practice located at 2000 Mcdonald Rd Suite 220, South Elgin IL 60177-3323. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Evergreen Medical Group Sc can be contacted via phone (847) 468-1206, or through Seo, Michelle M via phone (847) 468-1206.

Contact Information

Primary practice address
2000 Mcdonald Rd Suite 220 South Elgin IL 60177-3323
Phone: (847) 468-1206
Fax: (847) 468-1507
Website:
Map and Directions
Authorized official contact:
Name: Seo, Michelle M Doctor of Medicine (MD)
Phone: (847) 468-1206

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036090073 Illinois

Profile Details

NPI number 1396946695
LBN Legal business name Evergreen Medical Group Sc
DBA Doing business as
Authorized official Seo, Michelle M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Feb 18th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396946695 NPPES
Illinois Other 0004532435 BLUE CROSS BLUE SHIELD

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