Search › Illinois › 363LF0000X
Susan Davis, ND, FNP-BC
NPI 1609145234 · on the registry since 2011
Practice
- Address
- 755 E Boughton Rd
Bolingbrook, IL 60440 - Phone
- (630) 783-2207
- Organisation at this address
- Meijer
Full Sail Partners
Meijer Great Lakes Limited PartnershipInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-28
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