Evergreen Aesthetic Institute LLC
Evergreen Aesthetic Institute LLC is an Ambulatory Fertility Facility in Effingham, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1104 W Evergreen Ave Ste BEffingham, IL 62401-1710
Phone: (217) 342-7090
Fax: (217) 342-7094
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Fertility Facility (primary) | Taxonomy 261QA0006X · Licence 2198 (IL) |
|---|
Record details
| NPI number | 1710073176 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Fifer — Medical Director · (217) 342-7090 |
| Other names | Eai |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1104 W Evergreen Ave, Suite B, Effingham, IL 62401-1710 |