MR. PAUL THOMAS EVANS (NPI# 1720498769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720498769 |
Entity Type | Individual |
Full Name | MR. PAUL THOMAS EVANS |
Credential | CADC |
Practice Address |
3936 W Roosevelt Rd Suite 2 Chicago IL 60624-4389 |
Practice Telephone | 7738260398 |
Mailing Telephone | 7738260398 |
Enumeration Date | 2014-04-29 |
Last Update Date | 2014-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
30531 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740571876 | Paul Christopher Evans | Pharmacist | 975 E Cypress Ave, Redding, CA 96002-1045 | 2011-04-24 |
1922319052 | Paul Michael Evans | Surgery | 9200 Pinecroft Dr Ste 255, Shenandoah, TX 77380-3286 | 2010-06-23 |
1982870275 | Paul Evans | Physical Therapist | 7900 Airways Blvd Bldg A, Ste 2, Southaven, MS 38671-4113 | 2008-05-06 |
1912021379 | Paul Lewis Evans | Dentist | 563 Brunswick Rd., #1, Grass Valley, CA 95945 | 2007-03-19 |
1205840394 | Paul Evans | Chiropractor | 5480 Philadelphia St, Suite H, Chino, CA 91710-2486 | 2006-07-27 |
1245209444 | Paul Evans | Family Medicine | 625 Old Peachtree Rd, Georgia Campus PCom, Suwanee, GA 30024 | 2006-03-17 |
1790776763 | Paul Edward Evans IIi | Family Medicine | 4107 W Mercury Blvd, Hampton, VA 23666-3729 | 2005-10-31 |
1720445935 | Paul Evans | Dietitian, Registered | 3333 Bayshore Blvd, Pasadena, TX 77504-1952 | 2016-01-19 |
1437417615 | Paul M Evans | Pharmacist | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2012-04-25 |
1033483888 | Paul Joseph Evans | Nurse Practitioner | 1615 Blackiston View Dr, Clarksville, IN 47129-2035 | 2012-02-25 |
Street Address |
3936 W ROOSEVELT RD SUITE 2 |
City | CHICAGO |
State | IL |
Zip Code | 60624-4389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972752665 | Deer Rehabilitation Services Inc | Community/Behavioral Health | 3936 W Roosevelt Rd, Chicago, IL 60624-4233 | 2008-09-17 |
1346799061 | Deer Rehabilitation Services Inc. | Community/Behavioral Health | 3936 W Roosevelt Rd, Chicago, IL 60624-4389 | 2016-09-22 |
1588054704 | Deer Rehabilitation Services Inc. | Community/Behavioral Health | 3936 W Roosevelt Rd, Chicago, IL 60624-4389 | 2015-01-26 |
1821408899 | Marcia Malcolm-reed | Counselor | 3936 W Roosevelt Rd, Suite 2, Chicago, IL 60624-4389 | 2014-04-30 |
1902216906 | James Mcgrew | Counselor | 3936 W Roosevelt Rd, Suite 201, Chicago, IL 60624-4389 | 2014-04-30 |
1598175598 | Elise Carrie Bolden-bailey | Counselor | 3936 W Roosevelt Rd, Suite 2, Chicago, IL 60624-4389 | 2014-04-30 |
1447660501 | David Kemp | Counselor | 3936 W Roosevelt Rd, Suite 201, Chicago, IL 60624-4389 | 2014-04-29 |
1609108539 | Deer Rehabilitation Services Inc | Counselor | 3936 W Roosevelt Rd, Chicago, IL 60624-4389 | 2010-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
Find all providers in zip 60624 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
1073127775 | Deborah Lynn Dettman | Counselor | 1209 W Sherwin Ave Apt 809, Chicago, IL 60626-2257 | 2020-09-01 |
1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
1710528518 | Gateway Professional Services, PC | Counselor | 55 E Jackson Blvd Ste 1500, Chicago, IL 60604-4184 | 2019-10-02 |
1801447552 | Erika Chawla | Counselor | 1658 N Milwaukee Ave # 8253, Chicago, IL 60647-6905 | 2019-09-24 |
1336790310 | Robert J Smith | Counselor | 2544 W Irving Park Rd Apt 1e, Chicago, IL 60618-3752 | 2019-09-22 |
1255997987 | Austin Hall | Counselor | 2942 W Lake St, Chicago, IL 60612-1924 | 2019-05-17 |
1417418914 | Monica Connelly | Counselor | 800 N Lake Shore Dr Ste 800, Chicago, IL 60611-2402 | 2019-03-27 |
1336608439 | Columbus Manor | Counselor | 5107 W Jackson Blvd, Chicago, IL 60644-4316 | 2019-03-18 |
1972062958 | Patricia B Flaherty | Counselor | 210 S Desplaines St Apt 1407, Chicago, IL 60661-5570 | 2019-03-18 |
Find all providers in CHICAGO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.