EVERGREEN MEDICAL GROUP SC

SOUTH ELGIN, IL
NPI1396946695
Entity TypeOrganization
Authorized ContactMICHELLE M SEO
Director
847-468-1206
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036090073)
Enumeration Date2007-05-31
Last Update Date2010-02-18
Business Address
EVERGREEN MEDICAL GROUP SC
2000 MCDONALD RD SUITE 220
SOUTH ELGIN, IL 60177-3323
Phone number: 847-468-1206
Mailing Address
EVERGREEN MEDICAL GROUP SC
PO BOX 1509
ELGIN, IL 60121-1509
Phone number: 224-238-4160