1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGREEN BRIDGEPORT LLC
NPI 1770407397
Clinic/Center - Primary Care in Chicago, IL

Active since August 06, 2026
3548 S NORMAL AVE, CHICAGO, IL 60609(312) 731-6185 Get Directions Write a Review

NPPES record added: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Bridgeport Llc NPPES

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

EVERGREEN BRIDGEPORT LLC (NPI 1770407397) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since August 2026. The organization lists Xiuzhen Li, President, as its authorized official.

NPPES Registry Identity

NPI1770407397
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEVERGREEN BRIDGEPORT LLC
Location Address3548 S NORMAL AVEChicago, IL 60609
Mailing Address3548 S Normal AveChicago, IL 60609 · (312) 731-6185
Phone(312) 731-6185
Organization SubpartNo
Authorized OfficialXiuzhen LiPresident · (312) 731-6185
Enumeration DateAugust 6, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1770407397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3548 S NORMAL AVE, Chicago, IL 60609
Open in Google Maps ↗

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 Bridgeport LLC's NPI number?

The NPI number for Evergreen Bridgeport LLC is 1770407397. It was assigned to this organization in the NPPES registry on August 6, 2026.

Where is Evergreen Bridgeport LLC located?

Evergreen Bridgeport LLC is located at 3548 S Normal Ave, Chicago, IL 60609. The listed phone number is (312) 731-6185.

What is Evergreen Bridgeport LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evergreen Bridgeport LLC was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.