Individual
DR. DAVID MARC CIVITARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
420 E SUPERIOR ST STE 9-900, CHICAGO, IL 60611-4494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.077388
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
125.077388
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2020
Last updated
12/16/2025
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