IndividualActive
Diana Evans, PA-C
NPI 1780670141 · Surgical Physician Assistant · Oak Lawn, IL
Provider details
- NPI number
- 1780670141
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085000517 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4400 W 95th St Ste 308
Oak Lawn, IL 60453-2660
Phone: (708) 346-4040
Fax: (708) 346-3287
Approximate (ZIP-level) locationGet directions
Mailing address
9500 Bormet Dr
Mokena, IL 60448-8399
Registry dates
- Enumerated
- 2005-09-21
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.