Individual
DR. DAVIDA NAOMI GERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 N BROADWAY ST, DES PLAINES, IL 60016-2335
(847) 298-3150
(847) 298-5235
Mailing address
1 N BROADWAY ST, DES PLAINES, IL 60016-2335
(847) 298-3150
(847) 298-5235
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036127107
IL
390200000X
Student in an Organized Health Care Education/Training Program
125-0554694
IL
Other
Enumeration date
08/01/2008
Last updated
12/22/2021
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