MEDICARE: KENDALL PAIGE EVERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146.018435	IL

General Provider Information

NPI Number	:	1083504146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL PAIGE EVERS

Provider Business Mailing Address
First Line	:	2242 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2242 N KEDZIE BLVD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2504
Country	:	US
Telephone Number	:	773-486-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2025
Last Update Date	:	07/08/2025

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Directions to “ KENDALL PAIGE EVERS ” Practice Location

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