Evert, Breanna
Evert, Breanna is an sole proprietor health care provider with primary practice located at 6155 Grand Ave Ste 100 , Gurnee IL 60031-1651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Evert, Breanna can be contacted via phone (224) 271-6700.Contact Information
Primary practice address
6155 Grand Ave Ste 100
Gurnee IL 60031-1651
Phone: (224) 271-6700
Fax: (224) 271-6701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085008630 | Illinois |
Profile Details
NPI number | 1275159428 |
---|---|
LBN Legal business name | Evert, Breanna |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2020 |
Last updated | Dec 8th, 2021 - 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.
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