Provider Demographics
NPI:1043651573
Name:MCEVOY, HILARY A (MA)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:A
Last Name:MCEVOY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 MAPLEWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:IL
Mailing Address - Zip Code:61525-9661
Mailing Address - Country:US
Mailing Address - Phone:309-210-7088
Mailing Address - Fax:
Practice Address - Street 1:312 MAPLEWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:IL
Practice Address - Zip Code:61525-9661
Practice Address - Country:US
Practice Address - Phone:309-210-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional