Individual
DR. DAVID MAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2972
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2972
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036064974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064974
—
IL
Enumeration date
03/28/2006
Last updated
11/27/2019
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