Provider Demographics
NPI:1518215714
Name:EVE HEALTH CENTER
Entity Type:Organization
Organization Name:EVE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNINE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:708-365-8281
Mailing Address - Street 1:20303 CRAWFORD AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1041
Mailing Address - Country:US
Mailing Address - Phone:708-365-8281
Mailing Address - Fax:
Practice Address - Street 1:20303 CRAWFORD AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:OLYMPIA FIELDS
Practice Address - State:IL
Practice Address - Zip Code:60461-1041
Practice Address - Country:US
Practice Address - Phone:708-365-8281
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-17
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181000115172P00000X
213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172P00000XOther Service ProvidersNaprapathGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty