Evans, Renee
Evans, Renee is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Evans, Renee can be contacted via phone (312) 942-4252.Contact Information
Primary practice address
1653 W Congress Pkwy
Chicago IL 60612-3833
Phone: (312) 942-4252
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 364SA2100X | 209009104 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209009104 | Illinois |
Profile Details
NPI number | 1396014650 |
---|---|
LBN Legal business name | Evans, Renee |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2011 |
Last updated | Nov 27th, 2018 - about 6 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 | 1396014650 | NPPES |
Illinois | MEDICAID | 1396014650 |
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