Gregg E Davis MD LTD
Organization Active NPI Primary Care Clinic/Center · Princeton, IL
NPI 1447481908 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1447481908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 036-058885 (IL)
- Legal business name
- GREGG E DAVIS MD LTD
- Practice address
- 204 Park Ave E
Princeton, IL 61356-2114 - Phone
- (815) 879-3212
- Fax
- (815) 879-8602
- NPI assigned
- Jul 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregg E Davis, MD
- Title
- Ceo
- Phone
- (815) 879-3212
National Provider Directory
Locations
204 Park Ave E
Princeton, IL 61356
Phone (815) 879-3212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 036-058885 | IL | Yes |
Addresses
Primary practice location
204 Park Ave E
Princeton, IL 61356-2114
Mailing address
204 Park Ave E
Princeton, IL 61356-2114
Phone (815) 879-3212
Other providers in Princeton, IL
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- Goldwater Care Princeton LLC
- Gorenz Counseling and Consulting LTD
- David Gorenz
- Shelley Gorenz
- Sara Elizabeth Grieff
- H2Mi Design Build
- Hawthorne Inn Supportive Living Facility
- Healing Hands Resource Center
- Mark Horwitz
All providers in Princeton, IL · Primary Care Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.