MARY JANE EVANGELISTA

CHICAGO, IL
NPI1720760010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: IL  209.027735)
Enumeration Date2023-08-04
Last Update Date2023-09-26
Business Address
Mrs. MARY JANE EVANGELISTA PhD,DNP,PMHNP
3900 N PINE GROVE AVE APT 414
CHICAGO, IL 60613-6641
Phone number: 131-291-2344
Mailing Address
Mrs. MARY JANE EVANGELISTA PhD,DNP,PMHNP
3900 N PINE GROVE AVE APT 414
CHICAGO, IL 60613-6641
Phone number: 131-291-2344