Individual
DR. CHANELL DEANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036174678
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036174678
IL
Other
Enumeration date
05/10/2021
Last updated
06/11/2025
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