Individual
DAVIS HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
205 N WELLS ST, CHICAGO, IL 60606-1301
(312) 957-8882
Mailing address
840 W BLACKHAWK ST APT 716, CHICAGO, IL 60642-2572
(916) 690-3423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025561
IL
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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