Individual
DR. EVAN HAYWARD GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
446 E ONTARIO ST STE 7-100, CHICAGO, IL 60611-4418
(312) 695-5060
Mailing address
446 E ONTARIO ST STE 7-100, CHICAGO, IL 60611-4418
(312) 695-5060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.126710
IL
2084P0800X
Psychiatry Physician
A64149
CA
Other
Enumeration date
09/02/2009
Last updated
01/18/2012
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