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Organization
EVERSIDE HEALTH LLC FAIRVIEW HEIGHTS HEALTH CTR
Active
Organization
EVERSIDE HEALTH LLC FAIRVIEW HEIGHTS HEALTH CTR
Active
Other names
Marathon Health, Fairview Heights IL
Organization subpart
No
Provider details
NPI number
Authorized official
JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
(704) 936-5546
Entity
Organization
Contact information
Practice address
5031 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208-3453
(704) 529-6161
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/09/2022
Last updated
09/17/2026
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