Individual
JOHN DAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 OGDEN AVE STE 400, AURORA, IL 60504-5898
(630) 692-5563
(630) 692-5564
Mailing address
2020 OGDEN AVE STE 400, AURORA, IL 60504-5898
(630) 692-5563
(630) 692-5564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-099244
IL
Other
Enumeration date
09/23/2005
Last updated
04/13/2020
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