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EVERGREEN FAMILY MEDICINE
NPI 1245237460
Family Medicine in Evergreen Park, IL

Active since July 01, 2005
2850 W 95TH ST, SUITE 403, EVERGREEN PARK, IL 60805(708) 423-2662(708) 422-7264 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Family Medicine NPPES

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

EVERGREEN FAMILY MEDICINE (NPI 1245237460) is a healthcare organization registered as a family medicine in Evergreen Park, Illinois and active in the NPI registry since July 2005. The organization lists John R Elsen, President, as its authorized official.

NPPES Registry Identity

NPI1245237460
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERGREEN MEDICAL, LTD.
Location Address2850 W 95TH ST, SUITE 403Evergreen Park, IL 60805-2735
Mailing Address2850 W 95th St, Suite 403Evergreen Park, IL 60805-2735 · (708) 423-2662 · Fax (708) 422-7264
Phone(708) 423-2662
Fax(708) 422-7264
Organization SubpartNo
Authorized OfficialJohn R ElsenPresident · (708) 423-2662
Enumeration DateJuly 1, 2005
Last NPPES UpdateMarch 22, 2018
✔ NPI 1245237460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 042-618475
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2850 W 95TH ST, Evergreen Park, IL 60805
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Other Names 1

Doing Business AsEvergreen Family Medicine

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.

MS. DIANE L O'CONNOR RNFA
Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 952-1030
STANLEY A POLIT MD, SC
Internal Medicine (Gastroenterology)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Cook County (708) 424-9044
MAHAFZAH MEDICAL CENTER
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Cook County (708) 422-1222
DOLORES DIXON-GREVIOUS MD
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Cook County (708) 389-2200
DR. BASEL I AL-ASWAD MD
Orthopaedic Surgery
2850 W 95TH ST, SUITE 406
EVERGREEN PARK, IL 60805
Cook County (708) 499-4844
RAJNEESH SALWAN MD SC
Internal Medicine
2850 W 95TH ST, 304
EVERGREEN PARK, IL 60805
Cook County (708) 636-2770
AHK SURGICAL S.C.
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 636-4116
CYNTHIA D MORRIS APRN, CNP
Nurse Practitioner (Family)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 229-5065

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 Medical, Ltd.'s NPI number?

The NPI number for Evergreen Medical, Ltd. is 1245237460. It was assigned to this organization in the NPPES registry on July 1, 2005. The provider is doing business as Evergreen Family Medicine.

Where is Evergreen Medical, Ltd. located?

Evergreen Medical, Ltd. is located at 2850 W 95th St Suite 403, Evergreen Park, IL 60805. The listed phone number is (708) 423-2662.

What is Evergreen Medical, Ltd.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Medical, Ltd. was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.