Individual
HALEY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 TWILIGHT DR, MORRIS, IL 60450-3305
(815) 942-5109
Mailing address
2114 CATON RD, OTTAWA, IL 61350-1114
(815) 579-5109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015653
IL
235Z00000X
Speech-Language Pathologist
242.005322
IL
Other
Enumeration date
08/12/2019
Last updated
09/04/2024
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