Organization · Type 2 NPI

Evergreen Health Cre

Specialist · Oak Lawn, IL

NPI number 1164457701 Active

Practice location

5540 W 111th St
Oak Lawn, IL 60453-5035

Call (708) 423-8440 Map

Fax (708) 658-2958

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X00000 (IL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1164457701

Evergreen Health Cre's National Provider Identifier is 1164457701, issued on Jul 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 17, 2007.