Individual
BRIAN SCOTT EVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 742-3545
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 742-3545
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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