Individual
MS. DONNA J EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP/L
Contact information
Practice address
2206 EASTLAND DR, SUITE 306, BLOOMINGTON, IL 61704-7742
(309) 661-1350
(309) 661-1360
Mailing address
2001 W WILLOW KNOLLS DR, SUITE 106, PEORIA, IL 61614-1290
(309) 661-1350
(309) 661-1360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07215148
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/18/2006
Last updated
07/08/2007
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