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1700850005
DOUGLAS EVANS
MAYWOOD, IL
NPI
1700850005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: IL 36110469)
Enumeration Date
2006-02-14
Last Update Date
2022-08-11
Business Address
DOUGLAS EVANS MD
2160 S 1ST AVE MAGUIRE 1700
MAYWOOD, IL 60153-3328
Phone number: 708-216-3280
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Mailing Address
DOUGLAS EVANS MD
2160 S 1ST AVE MAGUIRE 1700
MAYWOOD, IL 60153-3328
Phone number: 708-216-3280
Copy
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