Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI Number | 1790095065 |
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| LBN Legal business name | CITY OF EVANSTON HEALTH DEPARTMENT | ||||
| Authorized official | EVONDA THOMAS - (DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/20/2010 | ||||
| Last updated | 10/20/2010 - About 16 years ago | ||||
| Identifiers |
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