IndividualActive
Charles Davidson, MD
NPI 1922062413 · Interventional Cardiology Physician · Chicago, IL
Provider details
- NPI number
- 1922062413
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036067673 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
675 N Saint Clair St
Galter 19-100
Chicago, IL 60611-5975
Phone: (312) 695-4965
Approximate (ZIP-level) locationGet directions
Mailing address
680 N Lake Shore Dr
Chicago, IL 60611-4546
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2020-02-06
- Certified
- 2020-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.