Provider Demographics
NPI:1992981864
Name:EVANS & EVANS COUNSELING& CONSULTING SERVICES INC
Entity type:Organization
Organization Name:EVANS & EVANS COUNSELING& CONSULTING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:773-721-5180
Mailing Address - Street 1:1525 E 53RD ST
Mailing Address - Street 2:SUITE 531
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-4557
Mailing Address - Country:US
Mailing Address - Phone:773-752-0531
Mailing Address - Fax:773-752-3271
Practice Address - Street 1:1525 E 53RD ST
Practice Address - Street 2:SUITE 531
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-4557
Practice Address - Country:US
Practice Address - Phone:773-752-0531
Practice Address - Fax:773-752-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-003202103TC0700X
IL149-0010221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1356393847OtherNPI-DR. ROBERT C. EVANS
IL1699727800OtherNPI-DR. HELEN L. EVANS
IL1356393847OtherNPI-DR. ROBERT C. EVANS