Organization
EVOLA PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA EVOLA ESCHER MS, OTR/L (PRESIDENT)
(847) 971-3771
Entity
Organization
Contact information
Practice address
1820 W WEBSTER AVE, CHICAGO, IL 60614-2934
(847) 971-3771
Mailing address
5455 N LINDEN AVE, CHICAGO, IL 60656-1615
(847) 971-3771
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
056007626
IL
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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