SearchIllinois172V00000X

Austin Davis

NPI 1003770983 · on the registry since 2025

Practice

Address
401 N Walnut St
Springfield, IL 62702
Phone
(217) 545-7027
Organisation at this address
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-15

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