EVOLUTION HEALTHCARE PLLC NPI 1063281178

NPI Information

  • NPI: 1063281178
  • Provider Name: EVOLUTION HEALTHCARE PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • CLIA Number: 14D2315083
  • Address: 1605 W WILSON ST STE 103
    BATAVIA, IL
    ZIP 60510
  • Phone: (630) 549-5348

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NPI Details

EVOLUTION HEALTHCARE PLLC is a family nurse practitioner in Batavia, IL. EVOLUTION HEALTHCARE PLLC NPI is 1063281178. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1605 W WILSON ST STE 103
BATAVIA, IL
ZIP 60510-608
Phone: (630) 549-5348
Fax: (630) 633-1233

The provider's authorized official is Melissa Verdecchia .
The authorized official title is Member/manager and has the following contact phone number (630) 549-5348.

The CLIA number assigned to this NPI record is 14D2315083 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2023 and was last updated on 1/2/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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