SearchIllinois235Z00000X

Tenika Davis

NPI 1992939995 · on the registry since 2009 · sole proprietor

Practice

Address
1662 W 104th St
Chicago, IL 60643
Phone
(708) 932-7066

Additional practice sites

  • 439 Greenbay Ave, Calumet City, IL

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-09-06

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