Individual
DR. CHADRICK RYAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MAIN ST, SUITE 300, PEORIA, IL 61606-1907
(309) 495-0201
(309) 676-6545
Mailing address
1001 MAIN ST, SUITE 300, PEORIA, IL 61606-1907
(309) 495-0201
(309) 676-6545
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036138899
IL
2086S0102X
Surgical Critical Care Physician
36138899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138899-1
—
IL
Enumeration date
05/09/2011
Last updated
11/11/2025
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