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Evergreen Aesthetic Institute LLC

Ambulatory Fertility Facility in Effingham, IL · enumerated 2006 · authorized official Theodore Fifer, Medical Director.

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

National Provider Identifier

1710073176

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Aesthetic Institute LLC
Other name <Unavail>
Practice address 1104 W Evergreen Ave, Suite B, Effingham, IL, 62401
Phone (217) 342-7090
Fax (217) 342-7094
Enumeration date Oct 5, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA0006X Ambulatory Fertility Facility Ambulatory Health Care Facilities · License 2198 (IL) Primary

Authorized official

Name Theodore Fifer
Title Medical Director
Phone (217) 342-7090

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

Where is Evergreen Aesthetic Institute LLC located?
The practice location on file with NPPES is in Effingham, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.