# EVERSIDE HEALTH LLC -TEAMSTERS 727 WELLNESS CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528787215
- **Authorized official:** JILL JOHNSON PATTON (DIRECTOR OF RISK MANAGEMENT)
- **Authorized official phone:** (704) 936-5546

## Contact information

- **Practice address:** 2550 OAK PARK AVE, BERWYN, IL 60402-4661
- **Practice address phone:** (085) 757-6757
- **Mailing address:** 4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 09/17/2026