Individual
CHAD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
806 LARAWAY RD, #808, NEW LENOX, IL 60451-2694
(815) 462-8416
(815) 462-8425
Mailing address
1521 CENTURION LN, NEW LENOX, IL 60451-2580
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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