Davidov, Rafie

Davidov, Rafie is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste G01 Wimmer Building, Elk Grove Village IL 60007-3372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Davidov, Rafie can be contacted via phone (847) 981-3680.

Contact Information

Primary practice address
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372
Phone: (847) 981-3680
Fax: (847) 956-5122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209014789 Illinois

Profile Details

NPI number 1649712373
LBN Legal business name Davidov, Rafie
Credentials A.P.N.-C.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2016
Last updated Nov 11th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649712373 NPPES
Illinois Other 1720371669 GROUP PRACTICE NPI

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