| Doctor Name: | MISS ARCHANA A DAVE |
| NPI Number: | 1003813007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, MBA |
| License Number: | D10000162915 |
| Business Practice Address: | 1091 Whittington Ct Gurnee, IL - 600314023 |
| Business Phone Number: | 8474147684 |
| Business Fax Number: | |
| Mailing Address: | 1091 Whittington Ct, GURNEE |
| State: | IL |
| Postal Code: | 600314023 |
| Phone Number: | 8474147684 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 172A00000X |
| License Number: | D10000162915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Driver |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |