Individual
MR. KRISTOFFER EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA PSYCHOLOGY
Contact information
Practice address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 386-6560
Mailing address
3545 LAKE AVE, WILMETTE, IL 60091-1058
(847) 386-6560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
Primary
057.016329
IL
Other
Enumeration date
07/03/2018
Last updated
05/14/2026
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