Dr. Willard Davis , DO
Emergency Medicine • Chicago, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Willard Davis has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Willard Davis, DO was a registered Emergency Medicine practicing in Chicago, IL. Throughout an active medical career spanning 19 years, Dr. Davis provided care at the practice location at 5645 W ADDISON ST until profile deactivation on 2025-09-04.
Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
5645 W Addison St
Our Lady Of The Resurrection Hospital
Chicago, IL 606344403
Specialty Benchmarks & Practice Insights
Comparative analytics for Emergency Medicine in Chicago, IL
Practicing in Chicago, IL (3389 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99285
Emergency department visit for life threatening or functioning severity
|
16 | 16 | $1770.50 | $158.39 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Anesthesiology
Doctor of Medicine (M.D.)
Physical Therapist
Doctor of Physical Therapy
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Dietitian, Registered
Registered Dietitian, Licensed Dietitian Nutritionist
Anesthesiology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 04, 2025
Emergency Medicine (License #036112903 in IL)
NPI status registered as active in NPPES database
Registered at 5645 W ADDISON ST, OUR LADY OF THE RESURRECTION HOSPITAL, CHICAGO, IL 606344403 (Tel: 7732827000)
Registered at 933 W VAN BUREN ST APT 716, CHICAGO, IL 606073595 (Tel: 3124981195)
Recorded as WILLARD DAVIS, D.O.
Emergency Medicine (License #036112903 in IL)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
933 W Van Buren St Apt 716
Chicago, IL 606073595
Phone: 3124981195
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