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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588956635 | NPPES |
| Illinois | MEDICAID | 036138899-1 |
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