Caleb Davis

NPI 1689061251 · on the registry since 2015

Practice

Address: 515 Ne Glen Oak Ave
Suite 101
Peoria, IL 61603
Phone: (309) 655-7378
Fax: (309) 655-4609
Organisation at this address: Daniel M Couri Ltd
University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-04-22

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