Mcleod, Evan George
Mcleod, Evan George is an individual health care provider with primary practice located at 2800 W 95Th St , Evergreen Park IL 60805-2746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mcleod, Evan George can be contacted via phone (708) 424-9288.Contact Information
Primary practice address
2800 W 95Th St
Evergreen Park IL 60805-2746
Phone: (708) 424-9288
Fax: (708) 422-9707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036057437 | Illinois |
Profile Details
| NPI number | 1760446330 |
|---|---|
| LBN Legal business name | Mcleod, Evan George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Aug 23rd, 2011 - about 13 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 | 1760446330 | NPPES |
| Illinois | MEDICAID | 036057437 |
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