Individual
DR. EVISHA SHAVONN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18501 MAPLE CREEK DR STE 200, TINLEY PARK, IL 60477-6779
(708) 798-4200
Mailing address
2228 MACDONALD LN, FLOSSMOOR, IL 60422-1340
(708) 307-0440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149011399
IL
Other
Enumeration date
05/30/2018
Last updated
02/25/2026
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