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Rafie Davidov, APN-CNP
Gerontology Nurse Practitioner in Elk Grove Village, Illinois
NPI 1649712373

Rafie Davidov is a Gerontology Nurse Practitioner based in Woodridge, IL and is specialized in Gerontology. Rafie Davidov practices in Elk Grove Village, IL and has the professional credentials of APN-CNP. The NPI Number for Rafie Davidov is 1649712373 and holds a License No. 209014789 (Illinois).

The current practice location address for Rafie Davidov is 800 Biesterfield Rd Ste G01, Elk Grove Village, IL and can be reached out via phone at 847-981-3680 and via fax at 847-956-5122.

Location: 800 Biesterfield Rd Ste G01, Elk Grove Village, IL, 60517-4903
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Provider Profile Details
NPI Number
1649712373
Provider Name
Rafie Davidov
Credential
APN-CNP
Provider Entity Type
Individual
Gender
Female
Address
800 Biesterfield Rd Ste G01, Elk Grove Village, IL, 60517-4903
Phone Number
847-981-3680
Fax Number
847-956-5122
Provider Enumeration Date
11/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720371669 01 IL GROUP PRACTICE NPI
institution
Provider Business Practice Location Address Details
Address
800 Biesterfield Rd Ste G01
City
State
Zip
60007-3372
Phone Number
847-981-3680
Fax Number
847-956-5122
person
Provider Business Mailing Address Details
Address
800 Biesterfield Rd Ste G01
City
State
Zip
60007-3372
Phone Number
847-981-3680
Fax Number
847-956-5122
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
209014789 (Illinois)
Definition
Definition to come...
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