Active NPI
Harold Lance Evans, MD
- Anatomic Pathology & Clinical Pathology Physician
- Waukegan, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036132884
- Practice address
- 1324 N Sheridan Rd
Vista Health Center East Dept of Pathology
Waukegan, IL 60085-2161 - Phone
- (847) 360-4105
- NPI assigned
- Mar 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 202320-1 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036132884 | IL | Primary |
Addresses
Primary practice location
1324 N Sheridan Rd
Vista Health Center East Dept of Pathology
Waukegan, IL 60085-2161
Mailing address
1324 N Sheridan Rd
Vista Health Center East Dept of Pathology
Waukegan, IL 60085-2161
Phone (847) 360-4105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3679
355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-2284
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (847) 757-7515
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036132884 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 202320-1 | NY | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology CHP, SC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| North Shore Pathology Consultants, S.C. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Accelpath Pathology Diagnostic Services PLLC | Past | Accepting new patients | |
| St Louis University | Past | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Evanston, IL
- NPI 1053432237
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1952407256
-
- Specialist
- New York, NY
- NPI 1194051656
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1902902281
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Presence Saint Joseph Hospital-Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1386967776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 N SHERIDAN RD",
"address_2": "VISTA HEALTH CENTER EAST DEPT OF PATHOLOGY",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852161",
"telephone_number": "847-360-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 N SHERIDAN RD",
"address_2": "VISTA HEALTH CENTER EAST DEPT OF PATHOLOGY",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600852161",
"telephone_number": "847-360-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "HAROLD",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-12",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NY",
"license": "202320-1",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036132884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.