OrganizationActive
Everside Health LLC
NPI 1063161396 · Preventive Medicine/Occupational Environmental Medicine Physician · Champaign, IL
Provider details
- NPI number
- 1063161396
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2143 S Neil St
Champaign, IL 61820-7593
Phone: (217) 726-2996
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2022-03-23
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.