Individual
KELSEY E DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 385-5463
Mailing address
SHRINERS HOSPITALS FOR CHILDREN CHICAGO, 2211 NORTH OAK PARK AVE, CHICAGO, IL 60707-3351
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036143920
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366732364
—
IL
Enumeration date
04/11/2011
Last updated
04/10/2025
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