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

Kimberly D Davis, APN

Individual provider Nurse Practitioner · NPI 1083589592

Kimberly D Davis, APN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2025
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

5700 S Maryland Ave
Chicago, IL 60637-1426
Phone: (773) 702-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019010808 (IL)

Record details

NPI number1083589592
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorYes
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address5700 S Maryland Ave, Chicago, IL 60637-1426

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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