Evergreen Aesthetic Institute LLC
NPI 1710073176 · Ambulatory Fertility Facility · Effingham, IL
Evergreen Aesthetic Institute LLC is a Ambulatory Fertility Facility organization in Effingham, IL (NPI 1710073176).
Provider details
- NPI number
- 1710073176
- Entity type
- Organization
- Primary specialty
- Ambulatory Fertility FacilityAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Theodore Fifer, Medical Director(217) 342-7090
- License
- 2198 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Eai
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evergreen Aesthetic Institute LLC's NPI number?
- Evergreen Aesthetic Institute LLC's National Provider Identifier (NPI) is 1710073176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Aesthetic Institute LLC?
- Evergreen Aesthetic Institute LLC is classified in the NPPES registry as Ambulatory Fertility Facility (Ambulatory Health Care Facilities).
- Where is Evergreen Aesthetic Institute LLC located?
- Evergreen Aesthetic Institute LLC's practice location on file with NPPES is 1104 W Evergreen Ave, Effingham, IL 62401-1710.
- What is Evergreen Aesthetic Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Aesthetic Institute LLC is (217) 342-7090.
- Who is the authorized official for Evergreen Aesthetic Institute LLC?
- The authorized official listed on Evergreen Aesthetic Institute LLC's NPPES record is Theodore Fifer, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Aesthetic Institute LLC's NPI active?
- Yes — Evergreen Aesthetic Institute LLC's NPI (1710073176) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.