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EVERGREEN HEALTH CRE
NPI 1164457701
Specialist in Oak Lawn, IL

Active since July 12, 2006
5540 W 111TH ST, OAK LAWN, IL 60453(708) 423-8440(708) 658-2958 Get Directions Write a Review

NPPES record last updated: July 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Evergreen Health Cre NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN HEALTH CRE (NPI 1164457701) is a healthcare organization registered as a specialist in Oak Lawn, Illinois and active in the NPI registry since July 2006. The organization lists David J Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1164457701
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEVERGREEN HEALTH CRE
Location Address5540 W 111TH STOak Lawn, IL 60453-5035
Mailing Address5540 W 111th StOak Lawn, IL 60453-5035 · (708) 423-8440 · Fax (708) 658-2958
Phone(708) 423-8440
Fax(708) 658-2958
Organization SubpartNo
Authorized OfficialDavid J SmithOwner · (708) 423-8440
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 17, 2007
✔ NPI 1164457701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 00000
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5540 W 111TH ST, Oak Lawn, IL 60453
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Other Identifiers 1

Medicare ID-Type Unspecified634344IL · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHICAGO SOUTH ORTHOPEDICS, INC
Specialist
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 423-8440
MRS. MARTHA LYNN COATE PTA
Physical Therapy Assistant
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 422-1311
DORIAL JANAE REED
Behavior Technician
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 634-0821
MI'KEL JACOBS
Behavior Technician
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 634-0821
LUCIA ARELLANO DURAN LUCIA ARELLANO OTR/L
Occupational Therapist
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (773) 373-3333
SHANTI HAMPTON
Behavior Technician
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 643-0821
ENCHANTRA SANDERS
Behavior Technician
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 634-0821
MEDICAL ALLIANCE FOR CORRECTIVE AND RECONSTRUCTIVE ORTHOPEDIC SURGERY
Specialist
5540 W 111TH ST
OAK LAWN, IL 60453
Cook County (708) 423-8440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Health Cre's NPI number?

The NPI number for Evergreen Health Cre is 1164457701. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Evergreen Health Cre located?

Evergreen Health Cre is located at 5540 W 111th St, Oak Lawn, IL 60453. The listed phone number is (708) 423-8440.

What is Evergreen Health Cre's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Evergreen Health Cre was last updated on July 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.