Most Relevant Information
Provider Data
| NPI Number: | 1003813007 |
| Provider Name: | ARCHANA A DAVE MS, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | D10000162915 |
Most Important Dates
| Enumeration Date: | 07/05/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1091 WHITTINGTON CT
GURNEE
IL
600314023
Practice Location Phone/Fax
| Phone: | 8474147684 |
| Fax: |
Provider Mailing Location
1091 WHITTINGTON CT
GURNEE
IL
600314023
Provider Mailing Phone/Fax
| Phone: | 8474147684 |
| Fax: |