Organization
EVANSTON REGIONAL PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H. PARKER JR. (CEO)
(801) 463-7415
Entity
Organization
Contact information
Practice address
190 ARROWHEAD DR, EVANSTON, WY 82930-9266
(307) 789-3636
Mailing address
PO BOX 734597, CHICAGO, IL 60673-4597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/25/2019
Last updated
10/09/2019
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