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General NPI Number Information
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NPI Number | 1972486454
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Entity Type | Organization
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Legal Business Name | EVERSET HEALTH - ILLINOIS PLLC
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 845 N LAKE ST
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City | AURORA
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State | IL
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Zip | 60506-3177
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Country | US
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Telephone | 630-844-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 3 GRANT SQ # 135
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City | HINSDALE
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State | IL
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Zip | 60521-3351
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Country | US
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Telephone | 661-350-5424
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KENNETH JOHNS
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Credential | DC
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Telephone | 661-350-5424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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