Dale Evans

Primary specialty

DriverTaxonomy code 172A00000X

License

E15216758147 Issued in IL

Practice address

7300 S Ashland Ave # 1
Chicago, IL 60636-4018

Phone

(773) 424-4346

NPI assigned

Nov 4, 2015

Last updated

Oct 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1306219092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 S ASHLAND AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364018",
            "telephone_number": "773-424-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 S ASHLAND AVE # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606364018",
            "telephone_number": "773-424-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DALE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-04",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": "E15216758147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Evans
• Chris Evans, D.C.
• Christy Evans
• Cole Evans, DPT
• Corri Evans, PA-C
• Daniel Evans, MD
• Denis Allen Evans, M.D.
• Derek Evans, RD
• Driesen Evans, DC
• Elizabeth Evans, M.D.

• Driver in Chicago, IL
• Providers in Chicago, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.