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Evergreen Health Cre
Specialist in Oak Lawn, Illinois
NPI 1164457701

Evergreen Health Cre is a Specialist based in Oak Lawn, IL. Evergreen Health Cre practices in Oak Lawn, IL. The NPI Number for Evergreen Health Cre is 1164457701 and holds a License No. 00000 (Illinois).

The current practice location address for Evergreen Health Cre is 5540 W 111Th St, Oak Lawn, IL and can be reached out via phone at 708-423-8440 and via fax at 708-658-2958.

Location: 5540 W 111Th St, Oak Lawn, IL, 60453-5035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164457701
Provider Name
Evergreen Health Cre
Credential
Provider Entity Type
Organization
Address
5540 W 111Th St, Oak Lawn, IL, 60453-5035
Phone Number
708-423-8440
Fax Number
708-658-2958
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5540 W 111Th St
City
Oak Lawn
State
Illinois
Zip
60453-5035
Phone Number
708-423-8440
Fax Number
708-658-2958
person
Provider Business Mailing Address Details
Address
5540 W 111Th St
City
Oak Lawn
State
Illinois
Zip
60453-5035
Phone Number
708-423-8440
Fax Number
708-658-2958
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
00000 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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