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

Miguel Davis

Individual provider Physical Therapy Assistant · NPI 1013790070

Miguel Davis is a Physical Therapy Assistant in Lake Bluff, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 Waukegan Rd Ste 1100
Lake Bluff, IL 60044-3013
Phone: (847) 247-2402
Fax: (847) 247-2405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1013790070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address900 Rand Rd Ste 300, Des Plaines, IL 60016-2359

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