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1376018515
DEREK EVANS
CHICAGO, IL
NPI
1376018515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IL 164007034)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
DEREK EVANS RD
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
DEREK EVANS RD
1800 W ERIE ST APT 2
CHICAGO, IL 60622-6787
Phone number: 815-508-8440
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