City of Evanston
City of Evanston is a State or Local Public Health Clinic/Center in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
2100 Ridge Ave Children's Dental ClinicEvanston, IL 60201-2716
Phone: (847) 866-2953
Fax: (847) 448-8134
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| State or Local Public Health Clinic/Center (primary) | Taxonomy 261QP0905X (IL) |
|---|
Record details
| NPI number | 1790957884 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carla Bush — Chief, Community Health Services · (847) 328-2100 |
| NPI enumerated | March 28, 2008 |
| Last updated in NPPES | March 28, 2008 |
| Mailing address | 2100 Ridge Ave, Children'S Dental Clinic, Evanston, IL 60201-2716 |