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Individual

DR. EVELYN MAUREEN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
161 E CHICAGO AVE, # 40-B, CHICAGO, IL 60611-2601
(312) 664-0330
Mailing address
161 E CHICAGO AVE, # 40-B, CHICAGO, IL 60611-2601
(312) 664-0330

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-076638
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-076638
IL
Enumeration date
07/04/2006
Last updated
07/08/2007
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