Individual
TODD T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 N HAVEN RD STE 7, ELMHURST, IL 60126-2973
(630) 832-2111
(630) 832-5199
Mailing address
103 N HAVEN RD STE 7, ELMHURST, IL 60126-2973
(630) 847-0047
(888) 894-1122
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036107390
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009900257
BCBS PROVIDER #
IL
05
—
036107390
—
IL
Enumeration date
09/12/2005
Last updated
07/28/2026
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