Individual
MR. GEOFFREY S DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
9000 W COLLEGE PKWY, PALOS HILLS, IL 60465-1444
(708) 974-5287
(708) 974-5420
Mailing address
940 N HUMPHREY AVE, OAK PARK, IL 60302-1418
(708) 763-0299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
96000466
IL
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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