Individual
MRS. CAROL S EVENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDS CHILD DEVELOPMEN
Contact information
Practice address
35 S OLD MILL LANE, BURR RIDGE, IL 60527
(630) 323-2398
(630) 323-2390
Mailing address
35 S OLD MILL LANE, BURR RIDGE, IL 60527
(630) 323-2398
(630) 323-2390
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
CE96020698P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000444156276201
—
IL
Enumeration date
04/12/2007
Last updated
07/08/2007
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