Organization
CITY OF EVANSTON HEALTH DEPARTMENT
Active
Organization
CITY OF EVANSTON HEALTH DEPARTMENT
Active
Other names
Evanston Childrens Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVONDA THOMAS RN MSN DHA(C) (DIRECTOR)
(847) 844-2957
Entity
Organization
Contact information
Practice address
2100 RIDGE AVE, EVANSTON, IL 60201-2716
(847) 866-2057
(847) 448-8125
Mailing address
2100 RIDGE AVE, ROOM G-500, EVANSTON, IL 60201-2716
(847) 866-2957
(847) 448-8125
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
074390907
IL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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