SearchIllinois133V00000X

Jeremy Davis, PHD, RD

NPI 1932918505 · on the registry since 2025 · sole proprietor

Practice

Address
113 Timber Trl
Carterville, IL 62918
Phone
(765) 490-8897

Registry record

Primary taxonomy
133V00000X
133V00000X
Also registered as
133VN1201X
133VN1501X
Sex
Male
Record last updated
2025-01-07

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