| Evergreen Evanston Llc | |
|
1521 Sherman Ave Evanston IL 60201-4416 | |
| (224) 714-2170 | |
| Not Available |
| Full Name | Evergreen Evanston Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1521 Sherman Ave, Evanston, Illinois |
| Authorized Official Name and Position | Xiuzhen Li (PRESIDENT) |
| Authorized Official Contact | 3127316185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Evanston Llc 1521 Sherman Ave Evanston IL 60201-4416 Ph: (224) 714-2170 | Evergreen Evanston Llc 1521 Sherman Ave Evanston IL 60201-4416 Ph: (224) 714-2170 |
| NPI Number | 1598659047 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598659047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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