Individual
MATTHEW JAMES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2086 7TH ST, CHARLESTON, IL 61920-6192
(217) 581-2712
Mailing address
110 N VAN BUREN ST, CHERRY VALLEY, IL 61016-9492
(815) 298-3370
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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