Individual
MEGAN M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16666 PRINCE DR, SOUTH HOLLAND, IL 60473-3244
(708) 314-8287
Mailing address
16666 PRINCE DR, SOUTH HOLLAND, IL 60473-3244
(708) 314-8287
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
06764916
IL
Other
Enumeration date
09/09/2021
Last updated
09/19/2021
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