EVERGREEN FAMILY MEDICINE
NPI 1245237460
Family Medicine in Evergreen Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 1, 2005

Contact Information

2850 W 95th St
Evergreen Park,
Post Code: 60805
Phone: (708) 423-2662
Fax: (708) 422-7264

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Evergreen Family Medicine in Evergreen Park - Family Medicine

Evergreen Family Medicine is a Family Medicine in Evergreen Park, . Evergreen Family Medicine practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Evergreen Family Medicine is 1245237460. The last update date is 2018-03-22.

Evergreen Family Medicine's current location address is 2850 W 95th St, Evergreen Park, . You can contact this provider via phone number (708) 423-2662 and fax number (708) 422-7264. The mailing address for Evergreen Family Medicine is 2850 W 95th St, Evergreen Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1245237460
Provider Legal Name
EVERGREEN MEDICAL, LTD.
Other Organization Name
EVERGREEN FAMILY MEDICINE
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
2850 W 95th St, Evergreen Park,
Location Phone
(708) 423-2662
Location Fax
(708) 422-7264
Mailing Address
2850 W 95th St, Evergreen Park, Illinois(IL)
Mailing Phone
708-423-2662
Mailing Fax
708-422-7264
Enumeration Date
2005-07-01
Last Update Date
2018-03-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
042-618475
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245237460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22854314412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 22854314412
2 + 2 + 8 + 5 + 4 + 3 + 1 + 4 + 4 + 1 + 2 + 24 = 60
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1245237460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1124021308 JULIA RACKLEY PERRY MEMORIAL HOSPITAL
PERRY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital, Critical Access 530 PARK AVE E
PRINCETON, Illinois (IL)
815-875-2811