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EAI
NPI 1710073176
Clinic/Center - Ambulatory Fertility Facility in Effingham, IL

Active since October 05, 2006
1104 W EVERGREEN AVE, SUITE B, EFFINGHAM, IL 62401(217) 342-7090(217) 342-7094 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eai NPPES

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

EAI (NPI 1710073176) is a healthcare organization registered as an ambulatory fertility facility in Effingham, Illinois and active in the NPI registry since October 2006. The organization lists Theodore Fifer, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710073176
Entity TypeOrganization
Primary Taxonomy261QA0006X
Legal Business NameEVERGREEN AESTHETIC INSTITUTE LLC
Location Address1104 W EVERGREEN AVE, SUITE BEffingham, IL 62401-1710
Mailing Address1104 W Evergreen Ave, Suite BEffingham, IL 62401-1710 · (217) 342-7090 · Fax (217) 342-7094
Phone(217) 342-7090
Fax(217) 342-7094
Organization SubpartNo
Authorized OfficialTheodore FiferMedical Director · (217) 342-7090
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710073176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory Fertility FacilityAmbulatory Health Care Facilities
Taxonomy Code261QA0006X
License✔ Licensed in IL · 2198
Definition
A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)
1104 W EVERGREEN AVE, Effingham, IL 62401
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Other Names 1

Doing Business AsEai

Other Providers at the Same Location NPPES 4

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

THE FIFER CENTER FOR PLASTIC SURGERY LTD
Plastic Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 342-7090
DR. KEVIN D MALONE MD
Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 347-2500
MR. LARRY JOE WELSH LCPC, NCC, CCMHC
Counselor (Professional)
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 258-4042
DR. JAMES J FLAIG DO
Surgery
1104 W EVERGREEN AVE
EFFINGHAM, IL 62401
Effingham County (217) 347-2500

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 Aesthetic Institute LLC's NPI number?

The NPI number for Evergreen Aesthetic Institute LLC is 1710073176. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Eai.

Where is Evergreen Aesthetic Institute LLC located?

Evergreen Aesthetic Institute LLC is located at 1104 W Evergreen Ave Suite B, Effingham, IL 62401. The listed phone number is (217) 342-7090.

What is Evergreen Aesthetic Institute LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Fertility Facility, with taxonomy code 261QA0006X.

When was this NPI record last updated?

The NPPES record for Evergreen Aesthetic Institute LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.