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Evergreen Medical, Ltd.

Family Medicine Physician in Evergreen Park, IL · enumerated 2005 · authorized official John Elsen, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1245237460

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Medical, Ltd.
Other name <Unavail>
Practice address 2850 W 95th St, Suite 403, Evergreen Park, IL, 60805
Fax (708) 422-7264
Enumeration date Jul 1, 2005
Last updated in NPPES Mar 22, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 042-618475 (IL) Primary

Authorized official

Name John Elsen
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evergreen Medical, Ltd.?
Evergreen Medical, Ltd. is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-22.