Individual
DR. JACQUELYN HALL-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1669 WINDHAM WAY SUITE B, O'FALLON, IL 62269-3072
(618) 622-9240
(618) 622-9241
Mailing address
1669 WINDHAM WAY SUITE B, O'FALLON, IL 62269-3072
(618) 622-9240
(618) 622-9241
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036080270
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080270
—
IL
01
—
3649
BCBS MO
MO
Enumeration date
11/21/2006
Last updated
02/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us