SearchIllinois101YP2500X

Laconyer Davis, MACC, LPC, NCC, CADC

NPI 1063956894 · on the registry since 2016

Practice

Address
1473 Ring Rd
Great Heights Family Medicine
Calumet City, IL 60409
Phone
(312) 885-2195
Organisation at this address
Great Heights Otp
Hansers Associates
Oakmerit Healthcare Sc
Great Heights Family Medicine Ltd.
Comprehensive Medical Management Services Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-12-13

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