Evans, Petulia

Evans, Petulia is an sole proprietor health care provider with primary practice located at 9550 S Emerald Avenue , Chicago IL 60628-1026. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacy Technician, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Evans, Petulia can be contacted via phone (312) 662-3664.

Contact Information

Primary practice address
9550 S Emerald Avenue Chicago IL 60628-1026
Phone: (312) 662-3664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 049163422 Illinois
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1962198283
LBN Legal business name Evans, Petulia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2023
Last updated Apr 12th, 2023 - about last year

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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