Provider Demographics
NPI:1952385841
Name:EVANS, DENIS ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:DENIS
Middle Name:ALLEN
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:505 N LAKE SHORE DR
Mailing Address - Street 2:APT. 5111
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3427
Mailing Address - Country:US
Mailing Address - Phone:312-661-0713
Mailing Address - Fax:312-661-0713
Practice Address - Street 1:1645 W JACKSON BLVD
Practice Address - Street 2:SUITE 675
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3276
Practice Address - Country:US
Practice Address - Phone:312-942-3350
Practice Address - Fax:312-942-2861
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-03
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine