Miguel Davis

Physical Therapy Assistant · Lake Bluff, IL

Individual Active NPI

NPI number 1013790070

Practice location

101 Waukegan Rd Ste 1100
Lake Bluff, IL 60044-3013
Phone
(847) 247-2402
Fax
(847) 247-2405

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NPI record

NPI
1013790070
Entity type
Individual (Type 1)
Enumeration date
August 15, 2023
Last updated
August 15, 2023
Certified
August 15, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X — —

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone
(847) 324-3976
Fax
(847) 929-1154

About Miguel Davis

Miguel Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 101 Waukegan Rd Ste 1100, Lake Bluff, IL 60044-3013. The NPI number 1013790070 was assigned on August 15, 2023 and the record was last updated on August 15, 2023.

Frequently asked questions

What is the NPI number of Miguel Davis?

The NPI number is 1013790070.

What is the phone number of Miguel Davis?

The phone number listed for the practice location is (847) 247-2402.

Where is Miguel Davis located?

101 Waukegan Rd Ste 1100, Lake Bluff, IL 60044-3013.

What is the taxonomy code for Miguel Davis?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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