SearchIllinois390200000X

Kirk Davis

NPI 1679462543 · on the registry since 2025 · sole proprietor

Practice

Address
1110 S Washington Ave
Park Ridge, IL 60068
Phone
(773) 497-9417

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2025-07-02

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