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OrganizationMedicare enrolled
Prairie Medical Group
Doing business as Evergreen Care
Nurse Practitioner · Chicago, IL
Source: NPPES NPI RegistryFetched 2026-10-20
Public record
- NPI
- 1000000870
- Enumeration date
- 2022-02-22
- Last updated
- 2026-04-25
- Practice location
- 8444 Elm StChicago, IL 60611
- Taxonomies
- Nurse Practitioner363L00000XPrimary
- Website
- Not listed
- Medicare
- Enrolled