Kristoffer Evangelista, BA Psychology
Occupational Therapy Assistant in Wilmette, IL. Individual provider (NPI-1).
NPI number1669968541
StatusActive
Last updated in NPPESMay 14, 2026
Details
- NPI
- 1669968541
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kristoffer Evangelista
- Credential
- BA Psychology
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2018
- Certification date
- May 14, 2026
- Last updated
- May 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057.016329 | IL | Yes |
Practice location
3545 Lake AveWilmette, IL 60091-1058
Phone 847-386-6560
Mailing address
3545 Lake AveWilmette, IL 60091-1058
Phone 847-386-6560
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