Davison-Mcneal Sc

NPI #1073948618 in Chicago, Illinois

Provider Information

NPI Number: 1073948618
Entity Type: Organization
Organization Name: Davison-Mcneal Sc
Primary Specialty: Podiatrist
Enumeration Date: Sep 12, 2013
Last Updated: Nov 5, 2013

Practice Location

Address: 6330 S INGLESIDE AVE
Address 2: UNIT 1
City: Chicago
State: Illinois
ZIP Code: 60637-3620
Phone: (773) 641-1489

Authorized Official

Name: DR. KIBIBI DAVISON, DPM
Title: OWNER
Phone: (773) 641-1489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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