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NPI Code Detail

MEDICARE: ALLISON VERONICA EVANS

MEDICARE: ALLISON VERONICA 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1215620919
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON VERONICA EVANS
Provider Business Mailing Address
First Line : 304 N LOOMIS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-1147
Country : US
Telephone Number : 312-243-8487
Fax Number :
Provider Business Practice Location Address
First Line : 7350 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-2017
Country : US
Telephone Number : 773-274-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2023
Last Update Date : 01/15/2024

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Directions to “ ALLISON VERONICA EVANS ” Practice Location

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