Individual
BARBARA ANN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-7488
(773) 869-3578
Mailing address
265 W 104TH ST, CHICAGO, IL 60628-2509
(773) 785-2365
(773) 785-2365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001108
IL
363AM0700X
Medical Physician Assistant
85001108
IL
Other
Enumeration date
04/02/2007
Last updated
04/22/2021
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