Individual
ANGELO DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Mailing address
310 N LOOMIS ST, CHICAGO, IL 60607-1147
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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