DR. CHADRICK RYAN EVANS


Address: 1001 Main St, Suite 300, Peoria, IL 61606-1907
Phone: 3094950201

DR. CHADRICK RYAN EVANS (NPI# 1588956635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588956635
Entity Type Individual
Full Name DR. CHADRICK RYAN EVANS
Credential M.D.
Practice Address 1001 Main St
Suite 300
Peoria
IL 61606-1907
Practice Telephone 3094950201
Practice Fax Number 3096766545
Mailing Telephone 3094950201
Mailing Fax Number 3096766545
Enumeration Date 2011-05-09
Last Update Date 2020-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0102X Surgery
Specialization: Surgical Critical Care
36138899 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036138899-1 05

Office Location

Street Address 1001 MAIN ST
SUITE 300
City PEORIA
State IL
Zip Code 61606-1907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356719736 Rachel Delong Nurse Practitioner 1001 Main St, Suite 300, Peoria, IL 61606-1907 2015-09-02
1730456914 Justin Lee Fischer Colon & Rectal Surgery 1001 Main St, Ste 300, Peoria, IL 61606-2036 2011-11-16
1518260199 Jodi Renee Stoner Clinical Nurse Specialist 1001 Main St, Suite 200, Peoria, IL 61606-1907 2010-12-21
1881906410 Heather Jefford Clinical Nurse Specialist 1001 Main St, 3rd Floor, Peoria, IL 61606 2010-07-12
1124344023 Jamie Doubet Registered Nurse 1001 Main St, 3rd Floor, Peoria, IL 61606-1907 2010-04-16
1114258167 Ryan M Dunn Internal Medicine 1001 Main St, Suite 200, Peoria, IL 61606-1907 2010-01-14
1134352842 Illinois Specialty Physician Services At Osf, LLC Internal Medicine 1001 Main St, Ste 200, Peoria, IL 61606-1907 2009-08-27
1154555852 Brynn N Cinnamon Registered Nurse 1001 Main St, Suite 500a, Peoria, IL 61606-1907 2009-05-08
1790924306 Central Illinois Endoscopy Center, LLC Clinic/Center 1001 Main St, Ste 530, Peoria, IL 61606-1907 2009-02-05
1255587812 Stephanie Cain Clinical Nurse Specialist 1001 Main St, 3rd Floor, Peoria, IL 61606-1907 2008-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194292334 Kelley Stork Speech-Language Pathologist 807 W Columbia Terrace, Peoria, IL 61606 2018-10-25
1689140519 Emma Cristine Tully Speech-Language Pathologist 1619 W. Fredonia Ave, Peoria, IL 61606 2018-10-18
1316492432 Jennifer Greenwood Nurse Practitioner 1001 Main St Ste 500a, Peoria, IL 61606 2016-08-18
1104944974 Robert I Martin Preventive Medicine 1127 N North Street, Peoria, IL 61606 2007-03-27
1023062312 Saint Francis Medical Center Physical Medicine & Rehabilitation 100 Ne Randoph Street, Peoria, IL 61606 2006-05-20
1174573307 Cpo Services, Inc Prosthetic/Orthotic Supplier 741 West Main Street, Peoria, IL 61606 2006-05-10
1174025357 Amy M Durst Nurse Practitioner 1001 Main St Ste 500a, Peoria, IL 61606 2018-03-05
1538471099 Jacob Royle Hopping Surgery 1001 Main St Ste 300, Peoria, IL 61606 2010-07-12
1306874128 David L Crawford Surgery 1001 Main Street, Suite 300, Peoria, IL 61606 2006-06-29
1205864170 Norman C Estes Surgery 1001 Main Street, Suite 300, Peoria, IL 61606 2006-06-29
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Taxonomy Information

Taxonomy Code 2086S0102X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Critical Care

Taxonomy Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275709438 Abigail Kirsten Tarbox Surgery 676 N St Claire St, Northwestern Memorial Hospital, Chicago, IL 60611 2008-05-07
1235304551 Peter Gerard Bendix Surgery 5841 S Maryland Ave # 5033, Chicago, IL 60637-1443 2008-04-28
1033258397 Laurel Ann Omert Surgery 9249 Lincolnwood Dr, Evanston, IL 60203-1609 2007-02-05
1295753093 Carlos Ortega Md Sc Surgery 5140 N California Ave Ste 780, Chicago, IL 60625-7066 2006-07-18
1154397495 Geoffrey Silver Surgery 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 2006-02-27
1457787475 Giovanni D. Giannotti Md, S.c. Surgery 2222 W Division St, Suite 335, Chicago, IL 60622-2717 2013-09-23
1295025534 Jennifer Turney Cone Surgery 5841 S Maryland Ave # Mc5033, Chicago, IL 60637-1443 2011-04-07
1124253935 Anne M Stey Surgery 259 E Erie St Fl 16, Chicago, IL 60611-2987 2009-05-22
1134369630 Nikunj K. Chokshi Surgery 5841 S Maryland Ave, Chicago, IL 60637 2009-02-24
1922254127 Elizabeth Gwinn Surgery 836 W Wellington Ave Rm 4813cc, Chicago, IL 60657-5147 2008-08-07
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Competitor

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City PEORIA
Zip Code 61606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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