Individual
LUIS M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1166 E DUNDEE RD, PALATINE, IL 60074
(847) 963-8101
(847) 963-8120
Mailing address
1166 E DUNDEE RD, PALATINE, IL 60074
(847) 963-8101
(847) 963-8120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36056058
IL
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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