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Individual

MS. MICHELLE ANN EVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4025 N SHERIDAN RD STE 101, CHICAGO, IL 60613-2010
(773) 388-1600
(630) 718-0900
Mailing address
4025 N SHERIDAN RD STE 101, CHICAGO, IL 60613-2010
(773) 388-1600
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
209009918
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
209.009918
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209.009918
IL
Enumeration date
11/15/2012
Last updated
04/08/2022
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