Evergreen Family Medicine – Family Medicine Physician, NPI 1245237460

Evergreen Family Medicine is a healthcare provider. based in Evergreen park, Illinois. specializing in Family Medicine Physician. The organization holds a License No. 042-618475 (IL). The NPI Number for Evergreen Family Medicine is 1245237460

Main info

Organization
Name
Evergreen Family Medicine
NPI
1245237460
Phone
(708) 423-2662
Address
2850 W 95TH ST
Authorized Official
JOHN R ELSEN PRESIDENT M.D.
Enumeration Date
1 July 2005
Last Update Date
22 March 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Evergreen Family Medicine

  • 2850, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States

    SUITE 403

    EVERGREEN PARK, IL 608052735

    Phone: (708) 423-2662

    Fax: (708) 422-7264

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60805)

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Reviews

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Frequently asked questions

Can I verify Evergreen Family Medicine with an NPI only?
You can start verification with NPI 1245237460 for Evergreen Family Medicine, then check state licensing separately.
Is Evergreen Family Medicine listed as active for patients and plans?
The listing shows Evergreen Family Medicine as active in the NPI system.
What taxonomy line describes Evergreen Family Medicine?
For research purposes, treat Evergreen Family Medicine as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Evergreen Family Medicine list a practice location?
Patients near Evergreen Park, Illinois may find Evergreen Family Medicine in results; validate coverage separately.
Why does Evergreen Family Medicine have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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