Individual
DR. EVAN DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL3, LAKE FOREST, IL 60045-1658
(847) 535-8500
(847) 535-8499
Mailing address
13506 SUMMERPORT VILLAGE PKWY # 413, WINDERMERE, FL 34786-7366
(407) 902-5987
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01072076A
IN
2084N0400X
Neurology Physician
Primary
036108165
IL
2084N0400X
Neurology Physician
4301504704
MI
2084N0400X
Neurology Physician
46414
KY
2084N0400X
Neurology Physician
G88720
CA
2084N0400X
Neurology Physician
MD440251
PA
2084N0400X
Neurology Physician
MD61068190
WA
2084N0400X
Neurology Physician
ME82452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201374230
—
IN
05
—
7100756660
—
KY
Enumeration date
08/16/2006
Last updated
09/06/2024
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