Individual
DR. MARK R DAVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 IL ROUTE 22, FOX RIVER GROVE, IL 60021-1905
(847) 516-1688
(847) 516-9269
Mailing address
603 N ROCHESTER ST, MUKWONAGO, WI 53149-1139
(262) 363-1810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009126
IL
Other
Enumeration date
09/21/2006
Last updated
11/27/2017
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