Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELDA JEAN DAVIS
Active Sole ProprietorELDA JEAN DAVIS is a Podiatric Surgery healthcare provider located in PARK FOREST, Illinois. NPI 1003464926 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · PARK FOREST, IL
Registration Details
- NPI Number
- 1003464926
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2019 (6.9548059782984 yrs)
- Last Updated
- Sep 4, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 JUNIPER STPARK FOREST, IL, 60466Browse IL providers · Browse ZIP 60466
- Phone
- 7082028387
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.