MR. PAUL THOMAS EVANS


Address: 3936 W Roosevelt Rd, Suite 2, Chicago, IL 60624-4389
Phone: 7738260398

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).

Provider Overview

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

Taxonomy

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

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1912021379 Paul Lewis Evans Dentist 563 Brunswick Rd., #1, Grass Valley, CA 95945 2007-03-19
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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

Office Location

Street Address 3936 W ROOSEVELT RD
SUITE 2
City CHICAGO
State IL
Zip Code 60624-4389

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60624

Improve Information

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Dataset Information

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.

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