| Evergreen Medical Group Sc | |
|
2000 Mcdonald Rd Suite 220 South Elgin IL 60177-3323 | |
| (847) 468-1206 | |
| (847) 468-1507 |
| Full Name | Evergreen Medical Group Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2000 Mcdonald Rd, South Elgin, Illinois |
| Authorized Official Name and Position | Michelle M Seo (DIRECTOR) |
| Authorized Official Contact | 8474681206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Medical Group Sc Po Box 1509 Elgin IL 60121-1509 Ph: (224) 238-4160 | Evergreen Medical Group Sc 2000 Mcdonald Rd Suite 220 South Elgin IL 60177-3323 Ph: (847) 468-1206 |
| NPI Number | 1396946695 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 02/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396946695 | NPI | - | NPPES |
| 0004532435 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036090073 (Illinois) | Primary |
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