| Davis Family Health Llc | |
|
1201 Meriden St Mendota IL 61342-2501 | |
| (815) 538-1800 | |
| (815) 538-4881 |
| Full Name | Davis Family Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 Meriden St, Mendota, Illinois |
| Authorized Official Name and Position | Kelly Ann Tonielli Davis (PROVIDER/OWNER FULL PRACTICE AUTHOR) |
| Authorized Official Contact | 8155381800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Family Health Llc 1201 Meriden St Mendota IL 61342-2501 Ph: (815) 538-1800 | Davis Family Health Llc 1201 Meriden St Mendota IL 61342-2501 Ph: (815) 538-1800 |
| NPI Number | 1518435247 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 01/06/2026 |
| Medicare PECOS PAC ID | 8628407764 |
|---|---|
| Medicare Enrollment ID | O20200410001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518435247 | NPI | - | NPPES |
| 1225553803 | Other | IL | NPI |
| Provider Name | Kelly Ann Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225553803 PECOS PAC ID: 3577839802 Enrollment ID: I20180501001987 |
Mendota Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St Ste 400, Mendota, IL 61342 Phone: 815-538-7200 | |
Community Health Partnership Of Illinois Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1009 Main St, Mendota, IL 61342 Phone: 815-539-6124 Fax: 815-539-9015 | |
Mendota Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Washington Street, Mendota, IL 61342 Phone: 815-538-1825 | |
Associated Physicians, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1405 E 12th St, Suite 300, Mendota, IL 61342 Phone: 815-539-3141 Fax: 815-487-4901 | |
Dr. Megan's Healthcare Ministries Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Meriden St, Mendota, IL 61342 Phone: 815-539-3739 Fax: 815-539-3753 | |
Mendota Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1405 E 12th St, Mendota, IL 61342 Phone: 815-539-7461 | |
Mendota Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 East 12th Street, Mendota, IL 61342 Phone: 815-539-7461 Fax: 815-538-5516 |