Organization · Type 2 NPI

Evergreen Bridgeport LLC

Primary Care Clinic/Center · Chicago, IL

NPI number 1770407397 Active

Practice location

3548 S Normal Ave
Chicago, IL 60609

Call (312) 731-6185 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1770407397

Evergreen Bridgeport LLC's National Provider Identifier is 1770407397, issued on Aug 6, 2026. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chicago, IL. The record was last updated on Aug 6, 2026.