Individual
DR. WILLIAM SCOTT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
(773) 770-0140
Mailing address
10 S RIVERSIDE PLZ, STE 19 EAST, CHICAGO, IL 60606-3728
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0000745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25803328
—
CO
01
—
P01592111
RAILROAD MEDICARE
CO
Enumeration date
07/23/2014
Last updated
07/28/2016
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