TARA P EVANS
NPI 1275017683
Counselor - Mental Health in Waukegan, IL
Active since September 21, 2018
About Tara P Evans NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA P EVANS (NPI 1275017683) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since September 2018.
NPPES Registry Identity
NPI1275017683
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA P EVANS
Location Address2410 BELVIDERE RDWaukegan, IL 60085-6165
Mailing Address5109 52nd AveKenosha, WI 53144-4321 · (773) 979-3188
Phone(847) 377-8686
Sole ProprietorNo
Enumeration DateSeptember 21, 2018
✔ NPI 1275017683 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2410 BELVIDERE RD, Waukegan, IL 60085
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275017683, enumerated as an "individual" on September 21, 2018.
The provider is located at 2410 BELVIDERE RD WAUKEGAN, IL 60085 and the phone number is (847) 377-8686.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
