OrganizationActive
Evergreen Health Cre
NPI 1164457701 · Specialist · Oak Lawn, IL
Evergreen Health Cre is a Specialist organization in Oak Lawn, IL (NPI 1164457701).
Provider details
- NPI number
- 1164457701
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- David Smith, Owner(708) 423-8440
- License
- 00000 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5540 W 111th St
Oak Lawn, IL 60453-5035
Phone: (708) 423-8440
Fax: (708) 658-2958
Street-level locationGet directions
Mailing address
5540 W 111th St
Oak Lawn, IL 60453-5035
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-17
Frequently asked questions
- What is Evergreen Health Cre's NPI number?
- Evergreen Health Cre's National Provider Identifier (NPI) is 1164457701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Health Cre?
- Evergreen Health Cre is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Evergreen Health Cre located?
- Evergreen Health Cre's practice location on file with NPPES is 5540 W 111th St, Oak Lawn, IL 60453-5035.
- What is Evergreen Health Cre's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Health Cre is (708) 423-8440.
- Who is the authorized official for Evergreen Health Cre?
- The authorized official listed on Evergreen Health Cre's NPPES record is David Smith, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Health Cre's NPI active?
- Yes — Evergreen Health Cre's NPI (1164457701) is active in the NPPES registry as of the last update on 2007-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.