Healthcare Provider Details

I. General information

NPI: 1689915258
Provider Name (Legal Business Name): DAVIES FERTILITY AND IVF SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 COMPASS RD STE 114
GLENVIEW IL
60026-8077
US

IV. Provider business mailing address

2601 COMPASS RD STE 114
GLENVIEW IL
60026-8077
US

V. Phone/Fax

Practice location:
  • Phone: 847-972-0300
  • Fax: 947-972-0043
Mailing address:
  • Phone: 847-972-0300
  • Fax: 947-972-0043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUSAN DAVIES
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 847-972-0300