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Search › Illinois › 104100000X

Drevonte Davidson

NPI 1407670888 · on the registry since 2024

Practice

Address
2000 N Racine Ave Ste 2150
Chicago, IL 60614
Phone
(773) 413-9523
Organisation at this address
Zwf Inc
Nxt Lvl Pt Inc
Abbie Kelley, Llc
Abbie Kelley, Llc
Laura Anderson, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-12

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