Evangelista, David J

Evangelista, David J is an sole proprietor health care provider with primary practice located at 1400 N Seminary Ave Suite #L, Woodstock IL 60098-2980. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Evangelista, David J can be contacted via phone (815) 529-4489.

Contact Information

Primary practice address
1400 N Seminary Ave Suite #L Woodstock IL 60098-2980
Phone: (815) 529-4489
Fax: (815) 308-5165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149-008014 Illinois

Profile Details

NPI number 1538273883
LBN Legal business name Evangelista, David J
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Jun 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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