Individual provider · Type 1 NPI

Evan Gabriel Revery

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1124874151 Active

Practice location

600 S Paulina St Ste 403
Chicago, IL 60612-3806

Call (312) 943-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124874151

Evan Gabriel Revery's National Provider Identifier is 1124874151, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 29, 2024.