Organization · Type 2 NPI
Evergreen Aesthetic Institute LLC
Ambulatory Fertility Facility · Effingham, IL
Practice location
1104 W Evergreen Ave, Suite B
Effingham, IL 62401-1710
Fax (217) 342-7094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Fertility Facility Primary | 261QA0006X | 2198 (IL) |
Ambulatory Fertility Facility: A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transf…
4 other providers at this address
- The Fifer Center for Plastic Surgery LtdPlastic Surgery Physician Effingham, IL NPI 1083711287
- James J. Flaig, DOSurgery Physician Effingham, IL NPI 1922018332
- Kevin D. Malone, MDSurgery Physician Effingham, IL NPI 1154331411
- Larry Joe Welsh, LCPC, NCC, CCMHCProfessional Counselor Effingham, IL NPI 1215659487
About NPI 1710073176
Evergreen Aesthetic Institute LLC's National Provider Identifier is 1710073176, issued on Oct 5, 2006. The primary taxonomy on file is Ambulatory Fertility Facility (261QA0006X), and the practice location is in Effingham, IL. The record was last updated on Aug 22, 2020.