Individual
CHARLES DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER 19-100, CHICAGO, IL 60611-5975
(312) 695-4965
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-4965
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036067673
IL
Other
Enumeration date
04/13/2006
Last updated
02/06/2020
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