Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles E. Davis, Ph D , PC

Organization Clinical Psychologist · NPI 1619285269

Charles E. Davis, Ph D , PC is a Clinical Psychologist in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 Lake St Ste 109
Oak Park, IL 60301-1147
Phone: (708) 431-2245
Fax: (708) 383-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071003271 (IL)

Record details

NPI number1619285269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Davis — President And Registered Agent · (708) 431-2245
NPI enumeratedSeptember 16, 2010
Last updated in NPPESSeptember 16, 2010
Mailing address1010 Lake St, Suite 109, Oak Park, IL 60301-1147

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