Individual
EVARESTA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2259 W TAYLOR ST, CHICAGO, IL 60612-4233
(312) 473-3714
(312) 473-3715
Mailing address
1552 S ROUTE 59 # 1065, NAPERVILLE, IL 60564-5941
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.027593
IL
Other
Enumeration date
08/10/2023
Last updated
03/06/2026
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