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Evergreen Aesthetic Institute Llc
Ambulatory Fertility Facility in Effingham, Illinois
NPI 1710073176

Evergreen Aesthetic Institute Llc is an Ambulatory Fertility Facility based in Effingham, IL and is specialized in Ambulatory Fertility Facility. Evergreen Aesthetic Institute Llc practices in Effingham, IL. The NPI Number for Evergreen Aesthetic Institute Llc is 1710073176 and holds a License No. 2198 (Illinois).

The current practice location address for Evergreen Aesthetic Institute Llc is 1104 W Evergreen Ave, Effingham, IL and can be reached out via phone at 217-342-7090 and via fax at 217-342-7094.

Location: 1104 W Evergreen Ave, Effingham, IL, 62401-1710
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710073176
Provider Name
Evergreen Aesthetic Institute Llc
Credential
Provider Entity Type
Organization
Address
1104 W Evergreen Ave, Effingham, IL, 62401-1710
Phone Number
217-342-7090
Fax Number
217-342-7094
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1104 W Evergreen Ave
City
Effingham
State
Illinois
Zip
62401-1710
Phone Number
217-342-7090
Fax Number
217-342-7094
person
Provider Business Mailing Address Details
Address
1104 W Evergreen Ave
City
Effingham
State
Illinois
Zip
62401-1710
Phone Number
217-342-7090
Fax Number
217-342-7094
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Fertility Facility
Taxonomy
261QA0006X
License No.
2198 (Illinois)
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)
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