Individual
MR. DAVID WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 E 9TH ST, LOCKPORT, IL 60441
(630) 967-3470
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-1369
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036070277
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070277
—
IL
Enumeration date
05/04/2006
Last updated
12/04/2019
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