Evergreen Health Cre
Evergreen Health Cre provides Specialist services in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5540 W 111th StOak Lawn, IL 60453-5035 Not confirmed with CMS for 19 years — call before visiting
Phone: (708) 423-8440
Fax: (708) 658-2958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 00000 (IL) |
|---|
Record details
| NPI number | 1164457701 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Smith — Owner · (708) 423-8440 |
| NPI enumerated | July 12, 2006 |
| Last updated in NPPES | July 17, 2007 |
| Mailing address | 5540 W 111th St, Oak Lawn, IL 60453-5035 |
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