CCN: 145734 NPI: 1538500996 Organization

AVANTARA EVERGREEN PARK

10124 S KEDZIE AVE
EVERGREEN PARK, IL 608053738

Contact Information

Phone 7089077000
Enumeration Date 2013-07-15
Last Updated 2013-12-05

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9803822308

censusDivision 3

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.9804024983

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.980529723

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.992

censusDivision 0

cbsaActualGeographicLocation 16984

providerType 38

vbpAdjustment 0.980278308

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9867658086

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9816416351

censusDivision 0

cbsaActualGeographicLocation 16974

providerType 38

vbpAdjustment 0.9816416351

Outpatient Payment Attributes (OPSF) View Dictionary →

No OPSF records found for this provider.