Individual
LILLIAN DAVISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N WALNUT ST, ELMHURST, IL 60126-2259
(219) 869-5685
Mailing address
302 N WALNUT ST, ELMHURST, IL 60126-2259
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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