Evernorth Direct Health LLC

NPI #1659956910 in Dixon, Illinois

Provider Information

NPI Number: 1659956910
Entity Type: Organization
Organization Name: Evernorth Direct Health LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EVERNORTH DIRECT HEALTH LLC
Primary Specialty: Clinic/Center
Enumeration Date: Mar 17, 2021
Last Updated: May 3, 2021

Practice Location

Address: 1350 FRANKLIN GROVE RD
City: Dixon
State: Illinois
ZIP Code: 61021-9148
Phone: (815) 285-6749

Authorized Official

Name: DEBORAH SUE COOLIDGE
Title: FINANCIAL ANALYSIS SENIOR MANAGER
Phone: (623) 277-1170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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