Evans, John Charles

Evans, John Charles is an individual health care provider with primary practice located at 112 S Northwest Hwy , Park Ridge IL 60068-4260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evans, John Charles can be contacted via phone (847) 696-3370.

Contact Information

Primary practice address
112 S Northwest Hwy Park Ridge IL 60068-4260
Phone: (847) 696-3370
Fax: (847) 696-9445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36108128 Illinois
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 36108128 Illinois

Profile Details

NPI number 1003964156
LBN Legal business name Evans, John Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 30th, 2021 - about 3 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 1003964156 NPPES
Illinois MEDICAID 036108128

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