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NPI Code Detail

MEDICARE: EVAN PFEIFER

MEDICARE: EVAN PFEIFER
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1124741988
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVAN PFEIFER
Provider Business Mailing Address
First Line : 854 TECHNOLOGY WAY
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-5350
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 854 TECHNOLOGY WAY
Second Line :
City : LIBERTYVILLE
State : IL
Zip : 60048-5350
Country : US
Telephone Number : 847-816-7200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2022
Last Update Date : 03/19/2026

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Directions to “ EVAN PFEIFER ” Practice Location

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