Evans, Chadrick Ryan

Evans, Chadrick Ryan is an individual health care provider with primary practice located at 1001 Main St Suite 300, Peoria IL 61606-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Evans, Chadrick Ryan can be contacted via phone (309) 495-0201.

Contact Information

Primary practice address
1001 Main St Suite 300 Peoria IL 61606-1907
Phone: (309) 495-0201
Fax: (309) 676-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 36138899 Illinois

Profile Details

NPI number 1588956635
LBN Legal business name Evans, Chadrick Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2011
Last updated Apr 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588956635 NPPES
Illinois MEDICAID 036138899-1

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