CITY OF EVANSTON HEALTH DEPARTMENT NPI 1790095065

NPI Information

CITY OF EVANSTON HEALTH DEPARTMENT is a public health or welfare in Evanston, IL. CITY OF EVANSTON HEALTH DEPARTMENT NPI is 1790095065. The provider is registered as an organization entity type.
The provider Is Doing Business As Evanston Childrens Dental Clinic.

The provider's business location address is:

2100 RIDGE AVE
EVANSTON, IL
ZIP 60201-716
Phone: (847) 866-2057
Fax: (847) 448-8125

The provider's authorized official is Evonda Thomas .
The authorized official title is Director and has the following contact phone number (847) 844-2957.

The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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