MEDICARE: CARLA DAVIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	149.029197	IL

General Provider Information

NPI Number	:	1801742911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA DAVIS

Provider Business Mailing Address
First Line	:	9319 S ALBANY AVE
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2421
Country	:	US
Telephone Number	:	630-750-1471
Fax Number	:

Provider Business Practice Location Address
First Line	:	9319 S ALBANY AVE
Second Line	:
City	:	EVERGREEN PARK
State	:	IL
Zip	:	60805-2421
Country	:	US
Telephone Number	:	630-750-1471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

Similar Medicare Providers

1073585923 — DR. LEILANI PALMA BESA-LORIA M.D.
Practice Location Address:

11905 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
11420-2421

Practice Phone: 718-843-3003
Practice Fax: 718-843-3504

1790737724 — DR. DIANA F GUTHANER M.D.
Practice Location Address:

2421 PARK BLVD STE B202
PALO ALTO, CA
94306-1956

Practice Phone: 650-617-8655
Practice Fax: 650-322-3416

1083644223 — JESSIE K JACOB MD
Practice Location Address:

2421 PARK BLVD STE B202
PALO ALTO, CA
94306-1956

Practice Phone: 650-617-8655
Practice Fax:

1730293671 — GLEN LORIA MD
Practice Location Address:

119-05 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
11420-2421

Practice Phone: 718-843-3003
Practice Fax: 718-843-3504

1861501223 — THRIFTY PAYLESS INC
Practice Location Address:

10349 SEPULVEDA BOULEVARD , DENNIS PARK SHOPPING CENTER
MISSION HILLS, CA
91345-2421

Practice Phone: 818-891-1941
Practice Fax:

1538222831 — FAUZIA AND MAHER INC.
Practice Location Address:

11901 ROCKAWAY BLVD
SOUTH OZONE PARK, NY
11420-2421

Practice Phone: 718-843-8000
Practice Fax: 718-843-3628

Directions to “ CARLA DAVIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.