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EVERGREEN PARK CU HS DIST 231 NPI 1700907425


NPI Information

NPI: 1700907425
Provider Name: EVERGREEN PARK CU HS DIST 231
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
9901 S KEDZIE AVE
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 424-7400
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EVERGREEN PARK CU HS DIST 231 is a student health clinic center in Evergreen Park, IL. EVERGREEN PARK CU HS DIST 231 NPI is 1700907425. The provider is registered as an organization entity type.

The provider's business location address is:

9901 S KEDZIE AVE
EVERGREEN PARK, IL
ZIP 60805-416
Phone: (708) 424-7400
Fax: (708) 424-7497

The provider's authorized official is Norah Fahlen .
The authorized official title is Director and has the following contact phone number (708) 424-7400.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.