Organization Active NPI

Mandy Evans, MD, LLC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1760952865
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MANDY EVANS, MD, LLC
Practice address
2421 N Lawndale Ave
Chicago, IL 60647-2320
Phone
(773) 603-6255
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Mandy Evans, MD
Title
President
Phone
(773) 603-6255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2421 N Lawndale Ave
Chicago, IL 60647-2320

Mailing address

2421 N Lawndale Ave
Chicago, IL 60647-2320
Phone (773) 603-6255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1760952865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 N LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472320",
            "telephone_number": "773-603-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 N LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472320",
            "telephone_number": "773-603-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDY EVANS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-603-6255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.