Individual
ELISHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1319 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Mailing address
1319 N GALENA AVE, DIXON, IL 61021-1009
(815) 440-6134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016280
IL
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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