Fry, Evan James
Fry, Evan James is an individual health care provider with primary practice located at 4727 Willow Springs Rd Ste 1N , La Grange IL 60525-6153. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fry, Evan James can be contacted via phone (708) 352-7358.Contact Information
Primary practice address
4727 Willow Springs Rd Ste 1N
La Grange IL 60525-6153
Phone: (708) 352-7358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 319.022417 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 019.033103 | Illinois |
Profile Details
| NPI number | 1407422421 |
|---|---|
| LBN Legal business name | Fry, Evan James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2021 |
| Last updated | Jan 31st, 2024 - 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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