EVERGREEN EMERGENCY SERVICES, LTD
NPI 1881679678
Emergency Medicine - Emergency Medical Services in Evergreen Park, IL

NPI Status: Active since December 14, 2005

Contact Information

2800 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 422-4221
Fax: (708) 422-4415

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services

About EVERGREEN EMERGENCY SERVICES, LTD

This page provides the complete NPI Profile along with additional information for Evergreen Emergency Services, Ltd, a provider established in Evergreen Park, Illinois operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1881679678 assigned on December 2005. The practitioner's primary taxonomy code is 207PE0004X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kathleen Guerrero (Administrator)

NPI
1881679678
Provider Name
EVERGREEN EMERGENCY SERVICES, LTD
Entity Type
Organization
Location Address
2800 W 95TH ST EVERGREEN PARK, IL 60805
Location Phone
(708) 422-4221
Location Fax
(708) 422-4415
Mailing Address
PO BOX 42898 EVERGREEN PARK, IL 60805
Mailing Phone
(708) 422-4221
Mailing Fax
(708) 422-4415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2005
Last Update Date
10-16-2015
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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

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN GUERRERO

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(708) 422-4221

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
369320MEDICARE PIN (08)IL 

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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.
1881679678
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816112718614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 1 + 2 + 7 + 1 + 8 + 6 + 1 + 4 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1881679678 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598768780LITTLE COMPANY OF MARY HOSPITAL INC
Organization
General Acute Care Hospital2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1538169438 ROBERT J. POOLEY JR. M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2800 W 95TH ST DEPT. OF PATHOLOGY
EVERGREEN PARK, IL 60805
(708) 229-5817
1770567117 LELAND LENAHAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-4221
1285618660 FRANCISCO ROSALES M.D.
Individual
Emergency Medicine (Emergency Medical Services)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-4221
1427032838 JAMES DANZIGER M.D.
Individual
Emergency Medicine (Emergency Medical Services)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-4221
1801870977 RICHARD LOPEZ M.D.
Individual
Emergency Medicine (Emergency Medical Services)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-4221
1760446330DR. EVAN GEORGE MCLEOD MD
Individual
Internal Medicine (Pulmonary Disease)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 424-9288
1588617260LITTLE COMPANY OF MARY AFFILIATED SERVICES INC
Organization
Internal Medicine2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 229-5171
1669413621DR. AJITA V. KASBEKAR M.D.
Individual
Anesthesiology2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1013959352MS. KARYN L. BENAK CRNA
Individual
Nurse Anesthetist, Certified Registered2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1194768986 R GLENN HESSEL M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1265477327DR. NORMA V. CADAYONA M.D.
Individual
Anesthesiology2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1699702753DR. DINESH CHINTHAGADA M.D.
Individual
Anesthesiology2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1053337758DR. RICHARD D. KERN M.D.
Individual
Internal Medicine (Pulmonary Disease)2800 W 95TH ST PULMONARY MEDICINE CONSULTANTS, LTD.
EVERGREEN PARK, IL 60805
(708) 424-9288
1194742924 FARHAD VOSSOUGHI MD
Individual
Surgery2800 W 95TH ST
EVERGREEN PARK, IL 60805
(630) 321-2710
1306865365DR. KUHN HONG MD
Individual
Radiology (Diagnostic Radiology)2800 W 95TH ST LITTLE COMPANY OF MARY HOSPITAL
EVERGREEN PARK, IL 60805
(708) 229-5104
1104848233CONSULTANTS IN CLINICAL PATHOLOGY
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200
1689682304DR. CHUANG SHIAN KIANG M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2800 W 95TH ST DEPT. OF PATHOLOGY
EVERGREEN PARK, IL 60805
(708) 229-5811
1013020544 TIMOTHY D PUTNAM M.D.
Individual
Physical Medicine & Rehabilitation2800 W 95TH ST
EVERGREEN PARK, IL 60805
(708) 422-6200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881679678, enumerated in the NPI registry as an "organization" on December 14, 2005

The provider is located at 2800 W 95th St Evergreen Park, Il 60805 and the phone number is (708) 422-4221

This medical organization specializes in Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.