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Individual

MR. PAUL THOMAS EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
3936 W ROOSEVELT RD, SUITE 2, CHICAGO, IL 60624-4389
(773) 826-0398
Mailing address
3936 W ROOSEVELT RD, SUITE 2, CHICAGO, IL 60624-4389
(773) 826-0398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
30531
IL

Other

Enumeration date
04/29/2014
Last updated
04/29/2014
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