Individual
DR. GREGG E DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 PARK AVE E, PRINCETON, IL 61356-2114
(815) 879-3212
(815) 879-8602
Mailing address
204 PARK AVE E, PRINCETON, IL 61356-2114
(815) 879-3212
(815) 879-8602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36058885
IL
207Q00000X
Family Medicine Physician
Primary
036-058885
IL
Other
Enumeration date
06/09/2006
Last updated
02/18/2015
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