NPI 1073167359 · live from the CMS NPI Registry
Evanston Regional Physicians LLC
Emergency Medicine in Evanston, WY. National Provider Identifier 1073167359, active.
NPI record
| NPI | 1073167359 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 190 Arrowhead Dr, Evanston, WY 82930 |
| Practice phone | 307-789-3636 |
| Mailing address | Po Box 734597, Chicago, IL 60673 |
| Enumerated | July 25, 2019 |
| Last updated | October 9, 2019 |
| Authorized official | Robert Parker, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Internal Medicine | 207R00000X | — |
| Emergency Medicine primary | 207P00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.