Individual
DAN H EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036062519
IL
207RN0300X
Nephrology Physician
Primary
036062519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062519
—
IL
Enumeration date
02/07/2006
Last updated
02/22/2013
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