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NPI Code Detail

MEDICARE: KATE S EVANS, PC

MEDICARE: KATE S EVANS, PC
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
1101YP2500XProfessional Counselor180.006508IL

General Provider Information

NPI Number : 1265775886
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATE S EVANS, PC
Provider Business Mailing Address
First Line : 103 N 11TH AVE
Second Line : SUITE #101
City : ST CHARLES
State : IL
Zip : 60174-2289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 103 N 11TH AVE
Second Line : SUITE #101
City : ST CHARLES
State : IL
Zip : 60174-2289
Country : US
Telephone Number : 224-795-1712
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KATE EVANS
Credential :
Telephone Number : 224-795-1712
Provider Enumeration Date : 04/02/2013
Last Update Date : 04/02/2013

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Directions to “KATE S EVANS, PC ” Practice Location

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