DARNELL DAVIS

EAST HAZEL CREST, IL
NPI1790131647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
(Licence: IL  101yaoyoox)
Enumeration Date2016-05-10
Last Update Date2016-05-10
Business Address
-- DARNELL DAVIS
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3331
Mailing Address
-- DARNELL DAVIS
1909 CHEKER SQ
EAST HAZEL CREST, IL 60429-1442
Phone number: 708-647-3331
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