Individual
PATRICIA L. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 OGDEN AVE, LISLE, IL 60532-1603
(630) 245-0989
(630) 527-0125
Mailing address
3100 OGDEN AVE, LISLE, IL 60532-1603
(630) 527-1920
(630) 527-0125
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092480
—
IL
Enumeration date
09/16/2005
Last updated
01/07/2010
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