Organization
EVERGREEN EMERGENCY SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN GUERRERO (ADMINISTRATOR)
(708) 422-4221
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 422-4221
(708) 422-4415
Mailing address
PO BOX 42898, EVERGREEN PARK, IL 60805-0898
(708) 422-4221
(708) 422-4415
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
IL
Other
Enumeration date
12/14/2005
Last updated
10/16/2015
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