Individual
JACQUELINE M EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CPNP
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5418
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5418
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-002473
IL
Other
Enumeration date
01/11/2007
Last updated
08/06/2013
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