MEDICARE: JESSICA MARIE EVANS

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	101YM0800X	Mental Health Counselor	178.021770	IL

General Provider Information

NPI Number	:	1184412561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARIE EVANS

Provider Business Mailing Address
First Line	:	4830 N LINDER AVE APT 3D
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60630-3436
Country	:	US
Telephone Number	:	773-300-7785
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 N RAVENSWOOD AVE STE 200
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5802
Country	:	US
Telephone Number	:	773-999-9987
Fax Number	:

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

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	03/17/2026

Similar Medicare Providers

1316963572 — RUTH A WOROCH N.P.
Practice Location Address:

4423 N RAVENSWOOD AVE
CHICAGO, IL
60640-5802

Practice Phone: 773-432-6570
Practice Fax: 773-681-0839

1912050782 — MRS. KELLY ANN VAEZ FNP
Practice Location Address:

4423 N RAVENSWOOD AVE
CHICAGO, IL
60640-5802

Practice Phone: 773-432-6570
Practice Fax:

1609094796 — ELIZABETH ANNE BOWEN MA, LCSW
Practice Location Address:

4411 N RAVENSWOOD AVE , 3RD FLOOR
CHICAGO, IL
60640-5802

Practice Phone: 773-751-4012
Practice Fax: 773-989-1935

1477761344 — HEARTLAND HUMAN CARE SERVICES I
Practice Location Address:

4411 N RAVENSWOOD AVE
CHICAGO, IL
60640-5802

Practice Phone: 773-275-4960
Practice Fax: 773-275-4965

1578774345 — HEARTLAND HUMAN CARE SERVICEINC.
Practice Location Address:

4411 N RAVENSWOOD AVE
CHICAGO, IL
60640-5802

Practice Phone: 773-275-4960
Practice Fax: 773-275-4965

1437327681 — HEARTLAND HUMAN CARE SERVICES
Practice Location Address:

4411 N RAVENSWOOD AVE
CHICAGO, IL
60640-5802

Practice Phone: 773-728-5960
Practice Fax: 773-728-6929

Directions to “ JESSICA MARIE EVANS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.