Organization Active NPI

Am Evergreen Services Inc

  • Clinical Medical Laboratory
  • Wheeling, IL
National Provider Identifier
1437804473
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AM EVERGREEN SERVICES INC
Practice address
747 W Dundee Rd
Wheeling, IL 60090-2605
Phone
(773) 552-1547
Fax
(630) 242-8450
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammad Hussain
Title
President
Phone
(773) 552-1547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

747 W Dundee Rd
Wheeling, IL 60090-2605

Mailing address

747 W Dundee Rd
Wheeling, IL 60090-2605
Phone (773) 552-1547

National Provider Directory

National Provider Directory

Locations

747 W Dundee Rd
Wheeling, IL 60090
Phone (773) 552-1547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1437804473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902605",
            "telephone_number": "773-552-1547",
            "fax_number": "630-242-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902605",
            "telephone_number": "773-552-1547",
            "fax_number": "630-242-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM EVERGREEN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-552-1547"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.