Individual
MS. SHARI M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9718 S. HALSTED, CHICAGO, IL 60628
(773) 233-4100
(773) 233-8542
Mailing address
9718 S HALSTED ST, CHICAGO, IL 60628-1007
(773) 298-2056
(773) 233-4055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001968
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001968
—
IL
Enumeration date
09/06/2006
Last updated
04/23/2013
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