Individual
MS. PHYLLIS ANITA EVANS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
JESSE BROWN VA MEDICAL CENTER, 820 SOUTH DAMEN AVENUE, CHICAGO, IL 60612-3728
(312) 569-7592
Mailing address
2736 W 83RD PL, CHICAGO, IL 60652-3904
(773) 776-6236
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
IL
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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