Individual
MRS. ILYSHA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
732 W LAKESIDE DR, PALATINE, IL 60067-2020
(847) 909-0619
Mailing address
732 W LAKESIDE DR, PALATINE, IL 60067-2020
(847) 909-0619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007200
IL
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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