Davidson, Kelsey E

Davidson, Kelsey E is an sole proprietor health care provider with primary practice located at 2211 N Oak Park Ave , Chicago IL 60707-3351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Davidson, Kelsey E can be contacted via phone (773) 385-5463.

Contact Information

Primary practice address
2211 N Oak Park Ave Chicago IL 60707-3351
Phone: (773) 385-5463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036143920 Illinois

Profile Details

NPI number 1366732364
LBN Legal business name Davidson, Kelsey E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2011
Last updated Mar 17th, 2018 - about 7 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 1366732364 NPPES
Illinois MEDICAID 1366732364

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