# KAYE E. DAVIS, MD, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518025014
- **Authorized official:** KAYE E DAVIS MD (PRESIDENT)
- **Authorized official phone:** (312) 939-4896

## Contact information

- **Practice address:** 19110 DARVIN DRIVE, MOKENA, IL 60446
- **Practice address phone:** (708) 478-8507
- **Practice address fax:** (708) 478-8507
- **Mailing address:** 1448 E 52ND ST, \# 396, CHICAGO, IL 60615-4122
- **Mailing address phone:** (312) 939-4896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 10/08/2007