| Susan R. Davis Therapies, Inc. | |
|
2845 Valley View Rd Gurnee IL 60031-1041 | |
| (847) 502-1007 | |
| (815) 301-9025 |
| Full Name | Susan R. Davis Therapies, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 2845 Valley View Rd, Gurnee, Illinois |
| Authorized Official Name and Position | Susan Roberta Davis (PRESIDENT) |
| Authorized Official Contact | 8475021007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan R. Davis Therapies, Inc. 2845 Valley View Rd Gurnee IL 60031-1041 Ph: (847) 502-1007 | Susan R. Davis Therapies, Inc. 2845 Valley View Rd Gurnee IL 60031-1041 Ph: (847) 502-1007 |
| NPI Number | 1104171917 |
|---|---|
| Provider Enumeration Date | 07/17/2012 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104171917 | NPI | - | NPPES |
| 180.007623 | Other | IL | ILLINOIS DEPT OF PROFESSIONAL AND FINANCIAL LICENSES |
| SS12630298P | Other | IL | ILLINOIS EARLY INTERVENTION |
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