| Evergreen Family Medicine | |
|
2850 W 95th St Suite 403 Evergreen Park IL 60805-2735 | |
| (708) 423-2662 | |
| (708) 422-7264 |
| Full Name | Evergreen Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2850 W 95th St, Evergreen Park, Illinois |
| Authorized Official Name and Position | John R Elsen (PRESIDENT) |
| Authorized Official Contact | 7084232662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Family Medicine 2850 W 95th St Suite 403 Evergreen Park IL 60805-2735 Ph: (708) 423-2662 | Evergreen Family Medicine 2850 W 95th St Suite 403 Evergreen Park IL 60805-2735 Ph: (708) 423-2662 |
| NPI Number | 1245237460 |
|---|---|
| Provider Enumeration Date | 07/01/2005 |
| Last Update Date | 03/22/2018 |
| Medicare PECOS PAC ID | 0749240455 |
|---|---|
| Medicare Enrollment ID | O20041018000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245237460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042-618475 (Illinois) | Primary |
| Provider Name | John R Elsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437260940 PECOS PAC ID: 0648230359 Enrollment ID: I20080314000255 |
| Provider Name | Eileen Louise Manojlovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720327166 PECOS PAC ID: 4486894284 Enrollment ID: I20130627000679 |
Stanley A Polit Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite 11, Evergreen Park, IL 60805 Phone: 708-424-9044 Fax: 708-424-1799 | |
P C Goodwin Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9401 S Pulaski Rd, Suite 101, Evergreen Park, IL 60805 Phone: 708-424-2475 Fax: 708-424-2494 | |
Experience Health, S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St Ste 301, Evergreen Park, IL 60805 Phone: 630-952-1412 Fax: 630-952-1447 | |
Rajneesh Salwan Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, 304, Evergreen Park, IL 60805 Phone: 708-636-2770 Fax: 708-423-9234 | |
Hugh Med Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite #304, Evergreen Park, IL 60805 Phone: 708-425-0200 Fax: 708-425-0208 | |
Stellar Health Experts, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9730 S Western Ave Ste 234, Evergreen Park, IL 60805 Phone: 708-703-8287 | |
Maya Medical Centers Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3830 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-1363 Fax: 708-422-1256 |