Davis, Carla R

Davis, Carla R is an individual health care provider with primary practice located at 1015 W Lawrence Ave Fl 2 , Chicago IL 60640-5017. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Davis, Carla R can be contacted via phone (773) 275-2586.

Contact Information

Primary practice address
1015 W Lawrence Ave Fl 2 Chicago IL 60640-5017
Phone: (773) 275-2586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29186 Illinois

Profile Details

NPI number 1881100576
LBN Legal business name Davis, Carla R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2017
Last updated Dec 18th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers