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General NPI Number Information
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NPI Number | 1811849045
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Entity Type | Organization
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Legal Business Name | EVOLVE BEHAVIORAL & MENTAL HEALTH LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 181 ASBURY AVENUE
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City | EVANSTON
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State | IL
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Zip | 60202
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Country | US
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Telephone | 312-806-1931
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 N CLARK ST
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City | CHICAGO
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State | IL
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Zip | 60640-4620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GANIU J AJAKAIYE
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Credential | NP
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Telephone | 312-806-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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