Ford, Evisha Shavonn

Ford, Evisha Shavonn is an sole proprietor health care provider with primary practice located at 18501 Maple Creek Dr Ste 200 , Tinley Park IL 60477-6779. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ford, Evisha Shavonn can be contacted via phone (708) 798-4200.

Contact Information

Primary practice address
18501 Maple Creek Dr Ste 200 Tinley Park IL 60477-6779
Phone: (708) 798-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149011399 Illinois

Profile Details

NPI number 1720570401
LBN Legal business name Ford, Evisha Shavonn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2018
Last updated Feb 25th, 2026 - about 9 months 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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