Individual
GARY LEWIS EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 WEST FAIRCHILD STREET, DANVILLE, IL 61832
(217) 431-7650
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003219
IL
363AM0700X
Medical Physician Assistant
A419
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
Enumeration date
07/26/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us