Sirois, Evans R
Sirois, Evans R is an individual health care provider with primary practice located at 199 W Rand Rd Ste 203 , Mt Prospect IL 60056-1157. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sirois, Evans R can be contacted via phone (847) 618-5450.Contact Information
Primary practice address
199 W Rand Rd Ste 203
Mt Prospect IL 60056-1157
Phone: (847) 618-5450
Fax: (847) 618-5459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036109044 | Illinois |
Profile Details
| NPI number | 1356310262 |
|---|---|
| LBN Legal business name | Sirois, Evans R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | May 11th, 2021 - about 5 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 | 1356310262 | NPPES |
| Illinois | Other | 036109044 | STATE LICENSE |
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