Individual
EVAN FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3410 ILLINOIS ST, GREAT LAKES, IL 60088-3120
(847) 340-0495
Mailing address
H200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
73278
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2023
Last updated
10/28/2024
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