EVERGREEN MEDICAL GROUP SC
NPI 1396946695
Internal Medicine in South Elgin, IL

NPI Status: Active since May 31, 2007

Contact Information

2000 MCDONALD RD
SUITE 220
SOUTH ELGIN, IL
ZIP 60177
Phone: (847) 468-1206
Fax: (847) 468-1507

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  • Organization
  • Internal Medicine

About EVERGREEN MEDICAL GROUP SC

This page provides the complete NPI Profile along with additional information for Evergreen Medical Group Sc, an internist established in South Elgin, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396946695 assigned on May 2007. The practitioner's primary taxonomy code is 207R00000X with license number 036090073 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Michelle M Seo Md (Director)

NPI
1396946695
Provider Name
EVERGREEN MEDICAL GROUP SC
Entity Type
Organization
Location Address
2000 MCDONALD RD SUITE 220 SOUTH ELGIN, IL 60177
Location Phone
(847) 468-1206
Location Fax
(847) 468-1507
Mailing Address
PO BOX 1509 ELGIN, IL 60121
Mailing Phone
(224) 238-4160
Mailing Fax
(847) 468-1507
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2007
Last Update Date
02-18-2010
Code Navigator

An internist like Evergreen Medical Group Sc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
036090073
License State
IL
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELLE M SEO MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(847) 468-1206

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0004532435OTHER (01)ILBLUE CROSS BLUE SHIELD
G17731MEDICARE UPIN (02)IL 
215340MEDICARE PIN (08)IL 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396946695, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 8 + 4 + 1 + 2 + 6 + 1 + 8 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1396946695.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Family Medicine
2000 MCDONALD RD
SOUTH ELGIN, IL 60177
Family Medicine
2000 MCDONALD RD
SOUTH ELGIN, IL 60177
Physical Therapist
2000 MCDONALD RD
SOUTH ELGIN, IL 60177
Internal Medicine
2000 MCDONALD RD, SUITE 220
SOUTH ELGIN, IL 60177
Physical Therapist
2000 MCDONALD RD
SOUTH ELGIN, IL 60177

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396946695, enumerated as an "organization" on May 31, 2007.

The provider is located at 2000 MCDONALD RD SUITE 220 SOUTH ELGIN, IL 60177 and the phone number is (847) 468-1206.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.