Gerena, Davida Naomi
Gerena, Davida Naomi is an sole proprietor health care provider with primary practice located at 1 N Broadway St , Des Plaines IL 60016-2335. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gerena, Davida Naomi can be contacted via phone (847) 298-3150.Contact Information
Primary practice address
1 N Broadway St
Des Plaines IL 60016-2335
Phone: (847) 298-3150
Fax: (847) 298-5235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125-0554694 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036127107 | Illinois |
Profile Details
| NPI number | 1538325113 |
|---|---|
| LBN Legal business name | Gerena, Davida Naomi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2008 |
| Last updated | Dec 22nd, 2021 - about 5 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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