DARNELL DAVIS

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1790131647

Practice Address

1909 CHEKER SQ
East Hazel Crest, IL 60429

Phone: (708) 647-3331

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes 101YAOYOOX (IL)

Frequently Asked Questions

NPI 1790131647 is the National Provider Identifier for DARNELL DAVIS, a Substance Abuse Rehabilitation Facility provider located in East Hazel Crest, IL. This NPI was enumerated on May 10, 2016.
DARNELL DAVIS practices at 1909 CHEKER SQ, East Hazel Crest, IL 60429.

Quick Facts

NPI
1790131647
Type
Individual
Enumerated
May 10, 2016
Last Updated
May 10, 2016

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