Organization
AT YOUR DOOR PHYSICIAN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARYRSHA DAVIS NURSE PRACTITIONER (NURSE PRACTITIONER)
(312) 636-3722
Entity
Organization
Contact information
Practice address
5525 S EMERALD AVE, CHICAGO, IL 60621-2953
(312) 636-3722
Mailing address
5525 S EMERALD AVE, CHICAGO, IL 60621-2953
(312) 636-3722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
04/08/2021
Last updated
04/07/2022
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