NPI
Evergreen Pediatric Group, Inc
NPI 1508133836
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2011-12-01
- Last updated
- 2013-10-02
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Specialties
Licenses
- License IL
- 1-11-9409
Location
- Practice location
- 157 Redmond Dr
- City
- Gilberts IL
- Postal code
- 60136-8026
- Phone
- (815) 985-3882
Organization contact
- Name
- Melissa Dixon
- Title
- Behavior Analyst
- Phone
- (815) 985-3882
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Gilberts, IL. 37 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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