Provider Demographics
NPI:1033866934
Name:EVERGREEN PUBLIC ADJUSTERS SERVICES LLC
Entity Type:Organization
Organization Name:EVERGREEN PUBLIC ADJUSTERS SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOSZERTUCHE BARRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-999-0143
Mailing Address - Street 1:2300 S ARCHER AVE UNIT 211
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-1829
Mailing Address - Country:US
Mailing Address - Phone:773-345-9151
Mailing Address - Fax:
Practice Address - Street 1:2300 S ARCHER AVE UNIT 211
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1829
Practice Address - Country:US
Practice Address - Phone:773-345-9151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory