NPI 1134823578

Evan Fuchs

Practitioner General Practice Physician Great Lakes, IL

Practice location

Address: 3410 Illinois St, Great Lakes, IL 60088-3120
Phone: (847) 340-0495
Mailing address: H200 Mercy Circle, Camp Pendleton, CA 92055

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 73278 (AZ)

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Military Health Care Provider

Other Service Providers Taxonomy 171000000X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1134823578
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2023
Record last updated: 28 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.