Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Charles E. Davis, Ph D , PC

Organization Clinical Psychologist · NPI 1619285269

Charles E. Davis, Ph D , PC provides Clinical Psychologist services 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 Not confirmed with CMS for 16 years — call before visiting
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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