Gregg E Davis (NPI# 1306887674, PAC ID# 4486557931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1306887674 |
| PAC ID by PECOS | 4486557931 |
| Professional Enrollment ID | I20050316000427 |
| Full Name | Gregg E Davis |
| Organization Legal Name | GREGG E DAVIS M D LTD |
| Address |
204 Park E Ave Princeton IL 61356-2114 |
| Phone Number | 8158793212 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0143374660 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141337 | PERRY MEMORIAL HOSPITAL |
| 140143 | ST MARGARETS HOSPITAL |
| 140067 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 204 Park E Ave, Princeton, IL 61356-2114 | 8158793212 | GREGG E DAVIS M D LTD |
| Organization Legal Name | GREGG E DAVIS M D LTD |
| Physicians | 1 |
| Street Address |
204 PARK E AVE |
| City | PRINCETON |
| State | IL |
| Zip | 61356-2114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Swalve Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Richard C Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Leslie E Lund | Chiropractic | 325 N Main St, Princeton, IL 61356-1728 | |
| Jarred A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Dennis A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Lori A Schultz | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Jeffrey P Martin | Chiropractic | 516 S Pleasant St, Princeton, IL 61356-1953 | |
| Donald Ray Marion | Optometry | 2 Park Ave W, Princeton, IL 61356-2019 | |
| Robert Mark Adler | Chiropractic | 17 E Peru St, Princeton, IL 61356-2031 | |
| Lisa M Johnson | Clinical Social Worker | 28 E Marion St, Suite 25, Princeton, IL 61356-2093 | |
| Find all physicians in zip 61356 | |||
| City | PRINCETON |
| Zip Code | 61356 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PRINCETON + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.