Evergreen Healthcare Center, LLC
Skilled Nursing Facility in Evergreen Park, IL. Organization (NPI-2).
NPI number1023099819
StatusActive
Last updated in NPPESApr 20, 2008
Details
- NPI
- 1023099819
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Healthcare Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 8, 2005
- Last updated
- Apr 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Evergreen Healthcare Center (Other Name)
Practice location
10124 S Kedzie AveEvergreen Park, IL 60805-3738
Phone 708-907-7000 · Fax 708-907-7003
Mailing address
6400 Shafer CtSuite 600
Rosemont, IL 60018-4914
Phone 847-720-8722 · Fax 847-720-8701
Authorized official
Neele E. Stearns
Chairman
8477208720
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