Organization
WILLIAMS B. EVANS MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B EVANS MD (PRESIDENT)
(708) 481-4200
Entity
Organization
Contact information
Practice address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 418-4200
(708) 481-3302
Mailing address
4647 LINCOLN HWY, MATTESON, IL 60443-2319
(708) 418-4200
(708) 481-3302
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036062358
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062348
—
IL
Enumeration date
04/24/2008
Last updated
04/24/2008
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