# DAVIS FAMILY HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Family Health LLC/Kelly Ann Tonielli Davis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518435247
- **Authorized official:** DR. KELLY ANN TONIELLI DAVIS DNP APRN FNP-BC (PROVIDER/OWNER FULL PRACTICE AUTHOR)
- **Authorized official phone:** (815) 538-1800

## Contact information

- **Practice address:** 1201 MERIDEN ST, MENDOTA, IL 61342-2501
- **Practice address phone:** (815) 538-1800
- **Practice address fax:** (815) 538-4881
- **Mailing address:** 1201 MERIDEN ST, MENDOTA, IL 61342-2501
- **Mailing address phone:** (815) 538-1800
- **Mailing address fax:** (815) 538-4881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/12/2018
- **Last updated:** 01/06/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1225553803 | NPI | IL |