EVERGREEN PEDIATRIC GROUP, INC
NPI 1508133836
Community/Behavioral Health in Gilberts, IL
About Evergreen Pediatric Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN PEDIATRIC GROUP, INC (NPI 1508133836) is a healthcare organization registered as a community/behavioral health in Gilberts, Illinois and active in the NPI registry since December 2011. The organization lists Melissa Leigh Dixon, Behavior Analyst, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Pediatric Group, Inc's NPI number?
The NPI number for Evergreen Pediatric Group, Inc is 1508133836. It was assigned to this organization in the NPPES registry on December 1, 2011.
Where is Evergreen Pediatric Group, Inc located?
Evergreen Pediatric Group, Inc is located at 157 Redmond Dr, Gilberts, IL 60136. The listed phone number is (815) 985-3882.
What is Evergreen Pediatric Group, Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
When was this NPI record last updated?
The NPPES record for Evergreen Pediatric Group, Inc was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.