| William B Evans MD SC | |
|
4647 Lincoln Hwy Matteson IL 60443-2319 | |
| (708) 481-4200 | |
| (708) 481-3302 |
| Full Name | William B Evans MD SC |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 4647 Lincoln Hwy, Matteson, Illinois |
| Authorized Official Name and Position | William B Evans (PRESIDENT) |
| Authorized Official Contact | 7084814200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William B Evans MD SC Po Box 429 Matteson IL 60443-0429 Ph: (708) 747-5850 | William B Evans MD SC 4647 Lincoln Hwy Matteson IL 60443-2319 Ph: (708) 481-4200 |
| NPI Number | 1962492785 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962492785 | NPI | - | NPPES |
| 01622854 | Other | BCBSIL GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | () | Primary |
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