WILLARD DAVIS

CHICAGO, IL
NPI1851371918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  036112903)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: TX  M4024)
Enumeration Date2006-01-17
Last Update Date2013-05-29
Business Address
-- WILLARD DAVIS D.O.
5645 W ADDISON ST OUR LADY OF THE RESURRECTION HOSPITAL
CHICAGO, IL 60634-4403
Phone number: 773-282-7000
Mailing Address
-- WILLARD DAVIS D.O.
933 W VAN BUREN ST APT 716
CHICAGO, IL 60607-3595
Phone number: 312-498-1195
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