Individual
MR. KURT EVINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
14963 E COUNTY LINE RD, MAPLE PARK, IL 60151-5200
(815) 766-0168
Mailing address
14963 E COUNTY LINE RD, MAPLE PARK, IL 60151-5200
(815) 766-0168
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000543
IL
Other
Enumeration date
03/15/2007
Last updated
05/27/2017
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