Individual
MICHELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SILVER CREEK DR, JOLIET, IL 60431-8340
(815) 409-0499
Mailing address
602 SILVER CREEK DR, JOLIET, IL 60431-8340
(815) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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