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Renita Davis, CHW

Community Health Worker in Chicago, IL. Individual provider (NPI-1).

NPI number1124936760
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1124936760
Entity type
Individual (NPI-1)
Name
Renita Davis
Credential
CHW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 1, 2026
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–ILYes

Practice location

4326 W Montrose Ave
Chicago, IL 60641-2016

Phone 773-883-9100 · Fax 773-883-0005

Mailing address

4326 W Montrose Ave
Chicago, IL 60641-2016

Phone 773-883-9100 · Fax 773-883-0005

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