EVERGREEN HEALTH & WELLNESS INC. NPI 1720626484

NPI Information

NPI: 1720626484
Provider Name: EVERGREEN HEALTH & WELLNESS INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3033 OGDEN AVE STE 200
LISLE, IL
ZIP 60532
Phone: (630) 946-6697
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EVERGREEN HEALTH & WELLNESS INC. is a primary care clinic center in Lisle, IL. EVERGREEN HEALTH & WELLNESS INC. NPI is 1720626484. The provider is registered as an organization entity type.

The provider's business location address is:

3033 OGDEN AVE STE 200
LISLE, IL
ZIP 60532-976
Phone: (630) 946-6697

The provider's authorized official is Xiuzhen Li .
The authorized official title is President and has the following contact phone number (773) 886-6888.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 1/8/2020.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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