# EVOKE WELLNESS AT CHICAGO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518743152
- **Authorized official:** SHERITA CHANG MS (CRO)
- **Authorized official phone:** (954) 993-2040

## Contact information

- **Practice address:** 1401 E OAKTON ST STE 14, DES PLAINES, IL 60018-2171
- **Practice address phone:** (954) 993-2040
- **Practice address fax:** (954) 990-6305
- **Mailing address:** 3600 RED RD STE 606B, MIRAMAR, FL 33025-6016
- **Mailing address phone:** (954) 993-2040
- **Mailing address fax:** (954) 990-6305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2023
- **Last updated:** 11/03/2023