1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. General Practice
  6. NPI Profile

EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1558118281
General Practice in Chicago, IL

Active since May 01, 2024
332 S MICHIGAN AVE STE 900, CHICAGO, IL 60604(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Evernorth Care Providers - Delaware Pa NPPES

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

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1558118281) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2024. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.

NPPES Registry Identity

NPI1558118281
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA
Location Address332 S MICHIGAN AVE STE 900Chicago, IL 60604-4393
Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059
Phone(773) 292-4800
Fax(312) 564-4059
Organization SubpartNo
Authorized OfficialJacqueline D LakesSenior Paralegal · (954) 446-0640
Enumeration DateMay 1, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1558118281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
332 S MICHIGAN AVE STE 900, Chicago, IL 60604
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2309813

Evernorth Care Providers - Delaware PA · Chicago, IL
Expired · Aug 20, 2026
CLIA Number14D2309813
Laboratory TypeIn Home Primary Care
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorShannon Alsop
Laboratory Phone(877) 663-1333
Laboratory LocationEvernorth Care Providers - Delaware PA332 S Michigan Ave - Ste 900, Chicago, IL 60604
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

LOVETH ANISE HEARD
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727
CHRISTINA FERMANICH
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727
OPEN BIONICS INC
Prosthetic/Orthotic Supplier
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (224) 634-4734
DAMOYNE MARIE MCCOY
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (813) 395-1073
ADAKU CHUKWUJIOKE MADU
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727
MICHELLE H WILIM
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727
SOFIA AGUINAGA
Counselor (Professional)
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (415) 992-6155
MISS MARIANA CEJA GAMA RBT
Behavior Technician
332 S MICHIGAN AVE STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727

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 Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1558118281. It was assigned to this organization in the NPPES registry on May 1, 2024.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 332 S Michigan Ave Ste 900, Chicago, IL 60604. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Delaware PA was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.