STACEY DAVIS

OAK PARK, IL
NPI1508454448
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.022618)
Enumeration Date2021-01-06
Last Update Date2021-03-12
Business Address
STACEY DAVIS PMHNP-BC
1010 LAKE ST STE 100
OAK PARK, IL 60301-1106
Phone number: 708-790-5200
Mailing Address
STACEY DAVIS PMHNP-BC
1137 W 127TH ST
CALUMET PARK, IL 60827-6537
Phone number: 708-620-7807
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