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Tyrone Davis
NPI 1447965124 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1937 S Spaulding Ave
Chicago, IL 60623 - Phone
- (773) 988-8750
Additional practice sites
- 1937 S Spaulding Ave, Chicago, IL
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 347C00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois