Evans, Matthew P

Evans, Matthew P is an individual health care provider with primary practice located at 2285 Sequoia Dr , Aurora IL 60506-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Evans, Matthew P can be contacted via phone (630) 859-6700.

Contact Information

Primary practice address
2285 Sequoia Dr Aurora IL 60506-6209
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036-101670 Illinois

Profile Details

NPI number 1144246828
LBN Legal business name Evans, Matthew P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 22nd, 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 1144246828 NPPES
Illinois Other 36101670 LICENSE
Illinois MEDICAID 036101670 LICENSE

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