Individual
DR. EVAN OWEN FOSTER DERANJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2021 MIDWEST RD STE 202, OAK BROOK, IL 60523-1368
(331) 222-7985
(331) 204-0796
Mailing address
2021 MIDWEST RD STE 202, OAK BROOK, IL 60523-1368
(331) 222-7985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036135873
IL
2084P0800X
Psychiatry Physician
252775
NY
Other
Enumeration date
07/28/2008
Last updated
06/21/2024
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