Dr. Tyler Andrew Evans
Surgeon Plastic Hand Surgeon
1001 Main St Ste 300
Peoria
, Illinois 61606-2036
Dr. Tyler Andrew Evans
Surgeon Plastic Hand Surgeon
1001 Main St Ste 300
Peoria
, Illinois 61606-2036
(217) 528-7541
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Tyler Andrew Evans
- Po Box 19248
- Springfield, IL
- Zip : 62794-9248
- Phone : (217) 528-7541
Second Address
- Dr. Tyler Andrew Evans
- 1001 Main St Ste 300
- Peoria, IL
- Zip : 61606-2036
- Phone : (217) 528-7541
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 036.153539 | IL |
| Y | 208600000X | Surgeon | 036.153539 | IL |
| N | 2082S0105X | Plastic Hand Surgeon | 036.153539 | IL |
National Provider Identifier
| NPI | 1629416920 |
|---|---|
| Provider Name | Dr. Tyler Andrew Evans |
| First Address | Springfield, IL 62794-9248 |
| Second Address | Peoria, IL 61606-2036 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2013 |
| Last Update Date | 14/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.