Doctor Name: | MRS. ANN H DAVIS |
NPI Number: | 1841455896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 125054725 |
Business Practice Address: | 344 Victory Dr Park Forest, IL - 604662003 |
Business Phone Number: | 7086792370 |
Business Fax Number: | 7082831137 |
Mailing Address: | 159 E 154th St, HARVEY |
State: | IL |
Postal Code: | 604263325 |
Phone Number: | 7087477100 |
Fax Number: | 3178658319 |
NPI Enumeration Date: | 07/18/2008 |
NPI Last Update Date: | 12/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 125054725 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |