Individual
EVAN JUSTIN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Mailing address
300 RANDALL RD, GENEVA, IL 60134-4200
(630) 208-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.074299
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2019
Last updated
06/15/2019
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