Organization · Type 2 NPI

Evergreen Pediatric Group, Inc

Community/Behavioral Health Agency · Gilberts, IL

NPI number 1508133836 Active

Practice location

157 Redmond Dr
Gilberts, IL 60136-8026

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X1-11-9409 (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

About NPI 1508133836

Evergreen Pediatric Group, Inc's National Provider Identifier is 1508133836, issued on Dec 1, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Gilberts, IL. The record was last updated on Oct 2, 2013.