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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1396014650 NPPES
Illinois MEDICAID 1396014650

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