Allen, Evan David

Allen, Evan David is an individual health care provider with primary practice located at 1000 N Westmoreland Rd # Level3 , Lake Forest IL 60045-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Allen, Evan David can be contacted via phone (847) 535-8500.

Contact Information

Primary practice address
1000 N Westmoreland Rd # Level3 Lake Forest IL 60045-1658
Phone: (847) 535-8500
Fax: (847) 535-8499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 46414 Kentucky
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01072076A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G88720 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME82452 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301504704 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD440251 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD61068190 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036108165 Illinois

Profile Details

NPI number 1821101742
LBN Legal business name Allen, Evan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 17th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821101742 NPPES
Indiana MEDICAID 201374230
Indiana MEDICAID 7100756660

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