EVERGREEN CARE CENTER LTD is a general practice in Evergreen Park, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee EVERGREEN CARE CENTER LTD NPI is 1447449616. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9760 S KEDZIE AVE
SUITE 3
EVERGREEN PARK, IL
ZIP 60805-109
Phone: (708) 423-6209
Fax: (708) 423-9021
The provider's authorized official is Thomas Joseph .
The authorized official title is Owner and has the following contact phone number (708) 423-6209.
The CLIA number assigned to this NPI record is 14D1018526 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/23/2007 and was last updated on 7/19/2010.