Individual
DR. JOANNA WIECZOREK DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 W POLK ST, 10TH FLOOR, CHICAGO, IL 60612-3723
(312) 802-0391
Mailing address
2035 W CHARLESTON ST, 304, CHICAGO, IL 60647-4500
(312) 802-0391
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.130953
IL
Other
Enumeration date
08/02/2010
Last updated
04/16/2013
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