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DR. JOHN CHARLES EVANS M.D. NPI 1003964156


NPI Information

NPI: 1003964156
Provider Name: DR. JOHN CHARLES EVANS, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PRESENCE HEALTHCARE SERVICES

PECOS Registration: Yes

Address:
112 S NORTHWEST HWY
PARK RIDGE, IL
ZIP 60068
Phone: (847) 696-3370
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DR. John Charles Evans, M.D. is a family medicine in Park Ridge, IL with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. John Charles Evans, M.D. NPI is 1003964156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

112 S NORTHWEST HWY
PARK RIDGE, IL
ZIP 60068-260
Phone: (847) 696-3370
Fax: (847) 696-9445

The NPI 1003964156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 1/8/2007 and was last updated on 3/30/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine36108128ILLINOISYes
22083X0100XPreventive MedicineOccupational Medicine36108128ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036108128MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.