Evergreen Bridgeport LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EVERGREEN BRIDGEPORT LLC

Practice address

3548 S Normal Ave
Chicago, IL 60609

Phone

(312) 731-6185

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Xiuzhen Li, DC

Title

President

Phone

(312) 731-6185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1770407397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 S NORMAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60609",
            "telephone_number": "312-731-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 S NORMAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60609",
            "telephone_number": "312-731-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BRIDGEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "XIUZHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-731-6185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele M Everett, M.D.
• Molly Everett, PHARMD, RPH
• Nedra Everett, LCSW
• Paul D Everett Jr.
• Tyson Everett, CSAC
• Evergreen Health & Wellness Inc.
• Evergreen Pediatric Therapy LLC
• Evergreen Public Adjusters Services LLC
• Evergreen Uptown LLC
• Joshua Michael Everhart, DO

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.