EVERGREEN HEALTH & WELLNESS INC.
NPI 1720626484
Clinic/Center - Primary Care in Chicago, IL

Active since December 12, 2019
222 W 26TH ST STE A, CHICAGO, IL 60616(312) 763-6192(312) 277-3533 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2024, May 16, 2022, Jan 8, 2020 and 1 more (4 updates tracked since 2019).

About Evergreen Health & Wellness Inc. NPPES

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

EVERGREEN HEALTH & WELLNESS INC. (NPI 1720626484) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since December 2019. The organization lists Xiuzhen Li, President, as its authorized official.

NPPES Registry Identity

NPI1720626484
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERGREEN HEALTH & WELLNESS INC.
Location Address222 W 26TH ST STE AChicago, IL 60616-4099
Mailing Address222 W 26th St Ste AChicago, IL 60616-4099 · (312) 731-6185
Fax(312) 277-3533
Organization SubpartNo
Authorized OfficialXiuzhen LiPresident · (312) 731-6185
Enumeration DateDecember 12, 2019
Last NPPES UpdateAugust 25, 20244 updates tracked since enumeration
NPPES CertifiedAugust 25, 2024
✔ NPI 1720626484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
222 W 26TH ST STE A, Chicago, IL 60616

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Health & Wellness Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Evergreen Health & Wellness Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1699319996
222 W 26TH ST STE A
Chicago, IL 60616
(312) 763-6192
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health & Wellness Inc.'s NPI number?

The NPI number for Evergreen Health & Wellness Inc. is 1720626484. It was assigned to this organization in the NPPES registry on December 12, 2019.

Where is Evergreen Health & Wellness Inc. located?

Evergreen Health & Wellness Inc. is located at 222 W 26th St Ste A, Chicago, IL 60616. The listed phone number is (312) 763-6192.

What is Evergreen Health & Wellness Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Evergreen Health & Wellness Inc. enrolled in Medicare?

Yes. Evergreen Health & Wellness Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Health & Wellness Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Evergreen Health & Wellness Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evergreen Health & Wellness Inc. was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.