IndividualActive
Darnell Davis
NPI 1790131647 · Substance Abuse Rehabilitation Facility · East Hazel Crest, IL
Provider details
- NPI number
- 1790131647
- Entity type
- Individual
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 101YAOYOOX (IL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1909 Cheker Sq
East Hazel Crest, IL 60429-1442
Phone: (708) 647-3331
Approximate (ZIP-level) locationGet directions
Mailing address
1909 Cheker Sq
East Hazel Crest, IL 60429-1442
Registry dates
- Enumerated
- 2016-05-10
- Last updated
- 2016-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.