Individual
DR. EVAN GEORGE MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2746
(708) 424-9288
(708) 422-9707
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2746
(708) 424-9288
(708) 422-9707
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036057437
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057437
—
IL
Enumeration date
04/12/2006
Last updated
08/23/2011
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