Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN AESTHETIC INSTITUTE LLC
Active OrganizationAmbulatory Fertility Facility · EFFINGHAM, IL
Registration Details
- NPI Number
- 1710073176
- Provider Type
- Organization
- NPI Issued
- Oct 5, 2006 (19.544758832742 yrs)
- Last Updated
- Aug 22, 2020
- License
-
2198 (IL)
Practice Information
- Address
-
1104 W EVERGREEN AVESUITE BEFFINGHAM, IL, 624011710Browse IL providers · Browse ZIP 62401
- Phone
- 2173427090
- Fax
- 2173427094
- Primary Specialty
-
Ambulatory Fertility Facility
261QA0006X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.