| NPI | 1083751150 |
|---|---|
| Doing Business As | EVERGREEN ORTHOPEDICS SC |
| Entity Type | Organization |
| Authorized Contact | BASEL I AL-ASWAD President 708-499-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: IL 036048539) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-03-07 |