Evergreen Care Center Ltd in Evergreen Park - General Practice
Evergreen Care Center Ltd - NPI 1447449616
Evergreen Care Center Ltd is a General Practice in Evergreen Park, Illinois. Evergreen Care Center Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Evergreen Care Center Ltd is 1447449616. The last update date is 2010-07-19.
Evergreen Care Center Ltd's current location address is 9760 S Kedzie Ave, Evergreen Park, Illinois. You can contact this provider via phone number 7084236209 and fax number 7084239021. The mailing address for Evergreen Care Center Ltd is 9760 S Kedzie Ave, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Care Center Ltd |
|---|---|
| Address | 9760 S Kedzie Ave, Evergreen Park, Illinois |
| Phone Number | 7084236209 |
| Fax Number | 7084239021 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Joseph Thomas |
| Credentials | MD |
| Telephone Number | 7084236209 |
NPI Number Detail
| NPI Number | 1447449616 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2010-07-19 |
Provider Mailing Address Detail
| Address | 9760 S Kedzie Ave |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 608053109 |
| Phone Number | 7084236209 |
| Fax Number | 7084239021 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA0131 | IL | RAIL ROAD MEDICARE | |
| 36084895 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Care Center Ltd?
The Evergreen Care Center Ltd has been issued the NPI (National Provider Identifier) 1447449616 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Evergreen Care Center Ltd?
The Evergreen Care Center Ltd is situated at 9760 S Kedzie Ave, in the city of Evergreen Park, state of IL, with the zip code 608053109.
What is Evergreen Care Center Ltd's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen Care Center Ltd is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
When did Evergreen Care Center Ltd receive its 1447449616 assignment?
The Evergreen Care Center Ltd was assigned its 1447449616 on 2007-10-23, which is the date when this unique identifier was issued to the organization.
When was the information related to Evergreen Care Center Ltd most recently updated or refreshed?
The details pertaining to the Evergreen Care Center Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-07-19.