Evergreen Family Medicine

LBN: Evergreen Medical, Ltd.
Evergreen Family Medicine is an health care organization with primary practice located at 2850 W 95Th St Suite 403, Evergreen Park IL 60805-2735. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Evergreen Medical, Ltd. can be contacted via phone (708) 423-2662, or through Elsen, John R via phone (708) 423-2662.

Contact Information

Primary practice address
2850 W 95Th St Suite 403 Evergreen Park IL 60805-2735
Phone: (708) 423-2662
Fax: (708) 422-7264
Website:
Map and Directions
Authorized official contact:
Name: Elsen, John R Doctor of Medicine (MD)
Phone: (708) 423-2662

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-618475 Illinois

Profile Details

NPI number 1245237460
LBN Legal business name Evergreen Medical, Ltd.
DBA Doing business as Evergreen Family Medicine
Authorized official Elsen, John R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 22nd, 2018 - about 6 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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