Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Medical, Ltd

Organization Family Medicine Physician · NPI 1245237460

Evergreen Medical, Ltd provides Family Medicine Physician services in Evergreen Park, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2850 W 95th St Ste 403
Evergreen Park, IL 60805-2735
Phone: (708) 423-2662
Fax: (708) 422-7264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 042-618475 (IL)

Record details

NPI number1245237460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Elsen — President · (708) 423-2662
Other names Evergreen Family Medicine; Evergreen Family Medicine
NPI enumeratedJuly 1, 2005
Last updated in NPPESMarch 22, 2018
Mailing address2850 W 95th St, Suite 403, Evergreen Park, IL 60805-2735

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