Douglas Evans is a Sports Medicine in Maywood, Illinois. Douglas Evans practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Douglas Evans is 1700850005. The last update date is 2022-08-11.
Douglas Evans's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082163280 and fax number 7082166223. The mailing address for Douglas Evans is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Evans |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082163280 |
| Fax Number | 7082166223 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700850005 |
|---|---|
| Provider Enumeration Date | 2006-02-14 |
| Last Updated Date | 2022-08-11 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082163280 |
| Fax Number | 7082166223 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 36110469 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36110469 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Evans by the Centers for Medicare & Medicaid Services?
The Douglas Evans has been assigned the NPI (National Provider Identifier) 1700850005. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Douglas Evans is located?
The Douglas Evans is situated at the following address: 2160 S 1St Ave, Maywood, IL, 601533328.
What is Douglas Evans's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Evans's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
When was the Douglas Evans's 1700850005 issued?
The Douglas Evans's 1700850005 was issued on 2006-02-14.
As of what date were the details pertaining to Douglas Evans last refreshed?
The information related to the Douglas Evans, including its address, specialty, and other relevant details, was last updated on 2022-08-11.