Individual
MS. TINA M. DAVIS-LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-4116
(708) 684-4272
Mailing address
8043 S FAIRFIELD AVE, CHICAGO, IL 60652-2717
(708) 684-4116
(708) 684-4272
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
209006718
IL
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
209006718
IL
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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