City of Evanston Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

074390907 Issued in IL

Legal business name

CITY OF EVANSTON HEALTH DEPARTMENT

Practice address

2100 Ridge Ave
Evanston, IL 60201-2716

Phone

(847) 866-2057

Fax

(847) 448-8125

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Evonda Thomas, RN MSN DHA(C)

Title

Director

Phone

(847) 844-2957

Specialties & licenses 1

Addresses

Other names 1

• Evanston Childrens Dental Clinic Doing business as

Tax ID family

Evanston Fire Departmen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• City of Evanston

  • Land Ambulance
  • Evanston, IL
  • NPI 1174542377
  NPD tax ID
• City of Evanston

  • State or Local Public Health Clinic/Center
  • Evanston, IL
  • NPI 1790957884
  NPD tax ID

Locations

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1790095065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RIDGE AVE",
            "address_2": "ROOM G-500",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012716",
            "telephone_number": "847-866-2957",
            "fax_number": "847-448-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012716",
            "telephone_number": "847-866-2057",
            "fax_number": "847-448-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EVANSTON HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "EVONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-844-2957",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MSN DHA(C)"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "074390907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanston Childrens Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simona Luisa Carla Cirio
• Anthony Cirrincione, M.D.
• Carol M Cislak, M.D.
• City of Evanston
• City of Evanston
• Tamara Miriam Claman, PSY.D.
• Bridget Kathrn Clancy
• Collin Clark
• Frank Milo Clark, M.D., PHD
• Ian Clark, MD

• Public Health or Welfare Agency in Evanston, IL
• Providers in Evanston, IL by specialty
• Public Health or Welfare Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.