| Doctor Name: | MS. JACQUELINE ANN ROHALY-DAVIS |
| NPI Number: | 1215224274 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, APRN, AOCN |
| License Number: | 209003904 |
| Business Practice Address: | 15750 Marian Dr Homer Glen, IL - 604916200 |
| Business Phone Number: | 7086453512 |
| Business Fax Number: | 7086453423 |
| Mailing Address: | 15750 Marian Dr, Oncology HOMER GLEN |
| State: | IL |
| Postal Code: | 604916200 |
| Phone Number: | 7086453512 |
| Fax Number: | 7086453423 |
| NPI Enumeration Date: | 06/28/2011 |
| NPI Last Update Date: | 06/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | 209003904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |