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Individual

DR. ROBERT L. DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
4663 W 95TH ST, OAK LAWN, IL 60453-2540
(708) 636-0600
(708) 636-0606
Mailing address
4663 W 95TH ST, OAK LAWN, IL 60453-2540
(708) 636-0600
(708) 636-0606

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007176
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046007173
IL
01
1265621361
GROUP NPI NUMBER
IL
01
506370
MEDICARE GROUP NUMBER
IL
Enumeration date
01/20/2006
Last updated
07/01/2025
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