Individual
ANGELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 E 41ST ST, CHICAGO, IL 60653-2707
(773) 354-0367
Mailing address
535 E 41ST ST, CHICAGO, IL 60653-2707
(773) 354-0367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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