EVAN FUCHS

GREAT LAKES, IL
NPI1134823578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: AZ  73278)
Additional Taxonomies171000000X Military Health Care Provider
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-29
Last Update Date2024-10-28
Business Address
EVAN FUCHS
3410 ILLINOIS ST
GREAT LAKES, IL 60088-3120
Phone number: 847-340-0495
Mailing Address
EVAN FUCHS
H200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
Phone number: