Individual
MS. DONNA JEAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5741 S MAYFIELD AVE, CHICAGO, IL 60638-3611
(773) 581-2416
Mailing address
5741 S MAYFIELD AVE, CHICAGO, IL 60638-3611
(773) 581-2416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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