Individual
HELENA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9654 W 131ST ST UNIT 205, PALOS PARK, IL 60464-1640
(708) 480-2650
(708) 575-2876
Mailing address
9654 W 131ST STREET, UNIT 205, PALOS PARK, IL 60464
(773) 844-6869
(708) 575-2876
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013064
IL
363LF0000X
Family Nurse Practitioner
209013064
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208013064
LICENSE
IL
Enumeration date
08/17/2015
Last updated
07/21/2022
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