Individual
CYNTHIA D DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 567-5552
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 567-5552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209005671
IL
Other
Enumeration date
10/31/2005
Last updated
02/04/2020
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