Individual
BRIDGET ROSE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5140 N CALIFORNIA AVE, STE 635, CHICAGO, IL 60625-3645
(773) 989-6200
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209009174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041384723
—
IL
01
—
406120066
PTAN
—
Enumeration date
04/06/2012
Last updated
07/10/2024
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