Individual
EMILY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25 E WASHINGTON ST, SUITE 820, CHICAGO, IL 60602-1708
(312) 848-4604
Mailing address
25 E WASHINGTON ST, SUITE 820, CHICAGO, IL 60602-1708
(312) 848-4604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010803
—
IL
Enumeration date
06/12/2014
Last updated
04/17/2015
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