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Search › Illinois › 104100000X

Evon Charles

NPI 1285491043 · on the registry since 2024 · sole proprietor

Practice

Address
24014 W Renwick Rd Ste 105-5
Plainfield, IL 60544
Phone
(815) 200-1130
Organisation at this address
Mind Lodge
Dpt Holdings Pllc
Jk Counseling Inc
Open Arms Lactation Llc
Southwest Physical Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois