MEDICARE: EVOHOME MEDICAL CORPORATION

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1346036720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVOHOME MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	400 N MAY ST STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-6495
Country	:	US
Telephone Number	:	888-491-6729
Fax Number	:	888-491-6759

Provider Business Practice Location Address
First Line	:	400 N MAY ST STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-6495
Country	:	US
Telephone Number	:	800-766-0666
Fax Number	:	800-297-0666

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DORAN DUKE
Credential	:	MD
Telephone Number	:	888-491-6729

Provider Enumeration Date	:	04/15/2025
Last Update Date	:	10/29/2025

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Directions to “EVOHOME MEDICAL CORPORATION ” Practice Location

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