Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Medical, Ltd

Organization Family Medicine Physician · NPI 1245237460

Evergreen Medical, Ltd is a Family Medicine Physician in Evergreen Park, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2850 W 95th St Ste 403
Evergreen Park, IL 60805-2735
Phone: (708) 423-2662
Fax: (708) 422-7264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 042-618475 (IL)

Record details

NPI number1245237460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Elsen — President · (708) 423-2662
Other names Evergreen Family Medicine; Evergreen Family Medicine
NPI enumeratedJuly 1, 2005
Last updated in NPPESMarch 22, 2018
Mailing address2850 W 95th St, Suite 403, Evergreen Park, IL 60805-2735

Other providers in Evergreen Park