Individual
ISAAC M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(630) 962-2869
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(630) 962-2869
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
09/26/2023
Last updated
08/15/2024
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