Davis-El, Jerry

Davis-El, Jerry is an sole proprietor health care provider with primary practice located at 33 E 114Th St , Chicago IL 60628-4921. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Davis-El, Jerry can be contacted via phone (773) 660-4630.

Contact Information

Primary practice address
33 E 114Th St Chicago IL 60628-4921
Phone: (773) 660-4630
Fax: (773) 660-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29962 Illinois

Profile Details

NPI number 1841796992
LBN Legal business name Davis-El, Jerry
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2018
Last updated Apr 5th, 2018 - about 7 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.

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