Davis, Helena

Davis, Helena is an individual health care provider with primary practice located at 9654 W 131St St Unit 205 , Palos Park IL 60464-1640. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Davis, Helena can be contacted via phone (708) 480-2650.

Contact Information

Primary practice address
9654 W 131St St Unit 205 Palos Park IL 60464-1640
Phone: (708) 480-2650
Fax: (708) 575-2876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209013064 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209013064 Illinois

Profile Details

NPI number 1871969626
LBN Legal business name Davis, Helena
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2015
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871969626 NPPES
Illinois Other 208013064 LICENSE

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