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Jerusha Evans

Social Worker in Flossmoor, IL. Individual provider (NPI-1).

NPI number1760187488
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1760187488
Entity type
Individual (NPI-1)
Name
Jerusha Evans
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2023
Certification date
Apr 2, 2023
Last updated
Apr 3, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker150.108812ILYes

Practice location

1343 Dartmouth Rd
Flossmoor, IL 60422-1904

Phone 773-490-6904

Mailing address

1343 Dartmouth Rd
Flossmoor, IL 60422-1904

Phone 773-490-6904

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Social Worker providers in Flossmoor, IL

All 9 Social Worker providers in Flossmoor · All 547 providers in Flossmoor

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