Individual
JAKELA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10829 S GREEN ST, CHICAGO, IL 60643-3805
(773) 490-0906
Mailing address
10829 S GREEN ST, CHICAGO, IL 60643-3805
(773) 490-0906
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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