Individual
EDGAR DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 79TH ST, BURR RIDGE, IL 60527-5958
(773) 641-2037
Mailing address
124 79TH ST, BURR RIDGE, IL 60527-5958
(773) 641-2037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.071499
IL
Other
Enumeration date
03/28/2017
Last updated
07/03/2017
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