Individual
DR. ARTHUR I DAVIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 3RD ST, BLOOMINGDALE, IL 60108-1212
(630) 893-8050
(630) 893-8154
Mailing address
105 3RD ST, BLOOMINGDALE, IL 60108-1212
(630) 893-8050
(630) 893-8154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036070839
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070839
—
IL
01
—
0585994
AETNA HMO
IL
01
—
080097634
RAILROAD MEDICARE
IL
01
—
14D0415194
CLIA
IL
01
—
1821374570
GROUP NPI
IL
01
—
278579100
US DEPT OF LABOR
IL
01
—
31602572
IL BLUESHIELD ID
IL
01
—
40642891
AETNA NON HMO
IL
01
—
775782
UNITEDHEALTHCARE
IL
Enumeration date
09/15/2005
Last updated
03/26/2012
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