Individual
DR. JOHN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
(630) 954-1555
Mailing address
900 JORIE BLVD, SUITE 186, OAK BROOK, IL 60523-2213
(630) 954-6700
(630) 954-1555
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
036109720
IL
208M00000X
Hospitalist Physician
01073739A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109720
—
IL
Enumeration date
06/12/2006
Last updated
11/16/2022
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